Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.60 / $8,553.00 / $12,096.23	Facility		$854.60	$8,553.00	$12,096.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.85 / $854.60 / $1,572.90	Professional		$805.85	$854.60	$1,572.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,398.00 / $27,660.50 / $47,489.23	Facility		$7,398.00	$27,660.50	$47,489.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.15 / $837.83 / $1,268.32	Professional		$661.15	$837.83	$1,268.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $743.12 / $743.12 / $1,082.08	Facility		$743.12	$743.12	$1,082.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $801.41 / $801.41 / $856.37	Professional		$801.41	$801.41	$856.37
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 $684.84 / $1,031.13 / $1,624.87	Professional		$684.84	$1,031.13	$1,624.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $738.94 / $1,031.13 / $1,600.90	Professional		$738.94	$1,031.13	$1,600.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $685.05 / $894.54 / $1,154.16	Professional		$685.05	$894.54	$1,154.16
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 $785.56 / $1,059.41 / $1,637.12	Professional		$785.56	$1,059.41	$1,637.12