Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.91 / $4,723.00 / $11,627.00	Facility		$905.91	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.91 / $905.91 / $1,804.96	Professional		$905.91	$905.91	$1,804.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.60 / $1,101.24 / $1,784.47	Professional		$781.60	$1,101.24	$1,784.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $867.05 / $1,040.46 / $1,287.80	Facility		$867.05	$1,040.46	$1,287.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $953.76 / $953.76 / $999.00	Professional		$953.76	$953.76	$999.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.35 / $1,256.40 / $1,855.48	Professional		$793.35	$1,256.40	$1,855.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $867.05 / $1,305.57 / $1,855.48	Professional		$867.05	$1,305.57	$1,855.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $742.09 / $1,189.37	Professional		$116.32	$742.09	$1,189.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.01 / $1,170.52 / $2,035.66	Professional		$808.01	$1,170.52	$2,035.66