Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.50 / $4,723.00 / $11,627.00	Facility		$766.50	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.50 / $767.73 / $1,510.42	Professional		$766.50	$767.73	$1,510.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,869.00 / $14,996.00	Facility		$1,760.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.89 / $812.81 / $1,296.83	Professional		$626.89	$812.81	$1,296.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $668.06 / $972.80 / $1,228.07	Facility		$668.06	$972.80	$1,228.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $703.21 / $720.47 / $1,277.19	Professional		$703.21	$720.47	$1,277.19
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 $615.66 / $916.96 / $1,477.49	Professional		$615.66	$916.96	$1,477.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $720.47 / $999.75 / $1,477.49	Professional		$720.47	$999.75	$1,477.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $691.94 / $951.13	Professional		$45.95	$691.94	$951.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.19 / $951.77 / $1,525.17	Professional		$739.19	$951.77	$1,525.17