Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.62 / $4,723.00 / $11,627.00	Facility		$903.62	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.62 / $903.62 / $2,800.17	Professional		$903.62	$903.62	$2,800.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.06 / $925.89 / $1,530.44	Professional		$769.06	$925.89	$1,530.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.55 / $787.55 / $1,146.78	Facility		$787.55	$787.55	$1,146.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $849.32 / $849.32 / $1,026.03	Professional		$849.32	$849.32	$1,026.03
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 $755.44 / $1,185.08 / $1,790.22	Professional		$755.44	$1,185.08	$1,790.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $818.31 / $1,185.08 / $1,814.58	Professional		$818.31	$1,185.08	$1,814.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $746.63 / $979.70 / $1,298.80	Professional		$746.63	$979.70	$1,298.80
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 $861.38 / $1,181.57 / $1,894.23	Professional		$861.38	$1,181.57	$1,894.23