Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.01 / $4,723.00 / $11,627.00	Facility		$922.01	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.01 / $943.60 / $1,797.92	Professional		$922.01	$943.60	$1,797.92
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 $695.42 / $981.76 / $1,632.59	Professional		$695.42	$981.76	$1,632.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.94 / $805.94 / $1,173.57	Facility		$805.94	$805.94	$1,173.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $869.15 / $869.15 / $938.75	Professional		$869.15	$869.15	$938.75
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 $777.35 / $1,203.70 / $1,666.98	Professional		$777.35	$1,203.70	$1,666.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $822.00 / $1,212.86 / $1,734.51	Professional		$822.00	$1,212.86	$1,734.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $817.54 / $1,160.86	Professional		$71.09	$817.54	$1,160.86
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 $829.36 / $1,091.26 / $1,769.87	Professional		$829.36	$1,091.26	$1,769.87