Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.85 / $4,723.00 / $11,627.00	Facility		$891.85	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.85 / $902.34 / $1,649.14	Professional		$891.85	$902.34	$1,649.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.88 / $861.39 / $1,523.34	Professional		$648.88	$861.39	$1,523.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $778.26 / $778.26 / $1,133.26	Facility		$778.26	$778.26	$1,133.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $708.93 / $839.30 / $839.30	Professional		$708.93	$839.30	$839.30
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 $717.22 / $1,068.20 / $1,605.16	Professional		$717.22	$1,068.20	$1,605.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $786.80 / $1,162.38 / $1,529.32	Professional		$786.80	$1,162.38	$1,529.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $747.23 / $1,093.30	Professional		$52.54	$747.23	$1,093.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.48 / $1,031.88 / $1,711.91	Professional		$798.48	$1,031.88	$1,711.91