Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.32 / $4,723.00 / $11,627.00	Facility		$847.32	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.32 / $847.32 / $2,624.70	Professional		$847.32	$847.32	$2,624.70
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 $639.99 / $801.90 / $1,275.54	Professional		$639.99	$801.90	$1,275.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $739.28 / $739.28 / $1,076.50	Facility		$739.28	$739.28	$1,076.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.27 / $797.27 / $853.83	Professional		$797.27	$797.27	$853.83
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 $724.79 / $1,043.33 / $1,625.19	Professional		$724.79	$1,043.33	$1,625.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $1,049.73 / $1,605.50	Professional		$775.00	$1,049.73	$1,605.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $657.59 / $859.93 / $1,145.46	Professional		$657.59	$859.93	$1,145.46
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 $787.87 / $1,049.19 / $1,637.99	Professional		$787.87	$1,049.19	$1,637.99