Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.42 / $4,723.00 / $11,627.00	Facility		$976.42	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.42 / $997.43 / $1,904.02	Professional		$976.42	$997.43	$1,904.02
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 $738.08 / $1,024.64 / $1,732.77	Professional		$738.08	$1,024.64	$1,732.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $853.90 / $853.90 / $1,243.39	Facility		$853.90	$853.90	$1,243.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $845.60 / $920.87 / $920.87	Professional		$845.60	$920.87	$920.87
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 $835.92 / $1,179.13 / $1,766.66	Professional		$835.92	$1,179.13	$1,766.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $874.67 / $1,285.02 / $1,843.54	Professional		$874.67	$1,285.02	$1,843.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $851.02 / $1,208.82	Professional		$71.09	$851.02	$1,208.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.95 / $1,159.38 / $1,809.48	Professional		$886.95	$1,159.38	$1,809.48