Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.55 / $4,723.00 / $11,627.00	Facility		$858.55	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.55 / $874.52 / $1,674.17	Professional		$858.55	$874.52	$1,674.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.71 / $886.66 / $1,525.30	Professional		$649.71	$886.66	$1,525.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $751.79 / $751.79 / $1,094.71	Facility		$751.79	$751.79	$1,094.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $706.98 / $810.76 / $810.76	Professional		$706.98	$810.76	$810.76
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 $727.26 / $1,036.09 / $1,552.45	Professional		$727.26	$1,036.09	$1,552.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $765.67 / $1,120.14 / $1,616.54	Professional		$765.67	$1,120.14	$1,616.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $767.61 / $1,093.94	Professional		$71.16	$767.61	$1,093.94
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 $778.02 / $1,017.28 / $1,583.99	Professional		$778.02	$1,017.28	$1,583.99