Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.47 / $4,723.00 / $11,627.00	Facility		$905.47	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.47 / $905.47 / $2,807.87	Professional		$905.47	$905.47	$2,807.87
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 $898.71 / $1,136.57 / $1,916.25	Professional		$898.71	$1,136.57	$1,916.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $789.50 / $789.50 / $1,149.61	Facility		$789.50	$789.50	$1,149.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $789.42 / $851.42 / $851.42	Professional		$789.42	$851.42	$851.42
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 $734.51 / $1,083.61 / $1,736.00	Professional		$734.51	$1,083.61	$1,736.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $820.92 / $1,093.59 / $1,658.47	Professional		$820.92	$1,093.59	$1,658.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $719.08 / $940.67 / $1,247.40	Professional		$719.08	$940.67	$1,247.40
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 $845.06 / $1,263.33 / $1,822.85	Professional		$845.06	$1,263.33	$1,822.85