Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.46 / $4,723.00 / $11,627.00	Facility		$889.46	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.46 / $889.46 / $1,780.58	Professional		$889.46	$889.46	$1,780.58
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 $742.37 / $996.78 / $1,767.14	Professional		$742.37	$996.78	$1,767.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.42 / $1,020.50 / $1,263.09	Facility		$850.42	$1,020.50	$1,263.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $836.23 / $935.46 / $935.46	Professional		$836.23	$935.46	$935.46
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 $782.22 / $1,200.50 / $1,819.89	Professional		$782.22	$1,200.50	$1,819.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $850.42 / $1,276.17 / $1,819.89	Professional		$850.42	$1,276.17	$1,819.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $720.96 / $1,179.67	Professional		$78.92	$720.96	$1,179.67
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 $784.82 / $1,128.41 / $1,935.58	Professional		$784.82	$1,128.41	$1,935.58