Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.82 / $4,723.00 / $11,627.00	Facility		$667.82	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.82 / $667.82 / $2,108.79	Professional		$667.82	$667.82	$2,108.79
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 $533.54 / $696.74 / $1,139.90	Professional		$533.54	$696.74	$1,139.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $583.00 / $583.00 / $848.92	Facility		$583.00	$583.00	$848.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $628.72 / $628.72 / $665.52	Professional		$628.72	$628.72	$665.52
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 $571.55 / $877.01 / $1,313.29	Professional		$571.55	$877.01	$1,313.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $627.42 / $877.01 / $1,304.65	Professional		$627.42	$877.01	$1,304.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $535.18 / $702.74 / $935.55	Professional		$535.18	$702.74	$935.55
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 $627.08 / $839.11 / $1,320.16	Professional		$627.08	$839.11	$1,320.16