Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.35 / $4,723.00 / $11,627.00	Facility		$809.35	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.35 / $809.35 / $2,507.80	Professional		$809.35	$809.35	$2,507.80
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 $646.66 / $844.47 / $1,381.59	Professional		$646.66	$844.47	$1,381.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $705.64 / $705.64 / $1,027.51	Facility		$705.64	$705.64	$1,027.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.98 / $760.98 / $806.69	Professional		$760.98	$760.98	$806.69
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 $691.80 / $1,034.52 / $1,581.13	Professional		$691.80	$1,034.52	$1,581.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $741.26 / $1,034.52 / $1,566.68	Professional		$741.26	$1,034.52	$1,566.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $627.35 / $823.34 / $1,092.09	Professional		$627.35	$823.34	$1,092.09
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 $752.56 / $1,008.41 / $1,556.90	Professional		$752.56	$1,008.41	$1,556.90