Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.61 / $4,723.00 / $11,627.00	Facility		$704.61	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.61 / $704.61 / $1,445.28	Professional		$704.61	$704.61	$1,445.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,408.00 / $14,299.15 / $25,723.30	Facility		$4,408.00	$14,299.15	$25,723.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.05 / $944.18 / $1,524.85	Professional		$623.05	$944.18	$1,524.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.43 / $809.32 / $1,001.71	Facility		$674.43	$809.32	$1,001.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $741.87 / $741.87 / $952.08	Professional		$741.87	$741.87	$952.08
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 $692.72 / $1,035.86 / $1,489.33	Professional		$692.72	$1,035.86	$1,489.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $708.15 / $1,041.85 / $1,508.71	Professional		$708.15	$1,041.85	$1,508.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $688.03 / $1,010.98	Professional		$53.53	$688.03	$1,010.98
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 $648.19 / $895.20 / $1,561.90	Professional		$648.19	$895.20	$1,561.90