Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.32 / $4,723.00 / $11,627.00	Facility		$634.32	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.32 / $723.42 / $1,317.59	Professional		$634.32	$723.42	$1,317.59
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 $523.98 / $703.50 / $1,136.79	Professional		$523.98	$703.50	$1,136.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $804.59 / $863.37	Facility		$552.54	$804.59	$863.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.89 / $598.33 / $1,056.35	Professional		$595.89	$598.33	$1,056.35
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 $524.42 / $775.36 / $1,292.07	Professional		$524.42	$775.36	$1,292.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $595.89 / $851.99 / $1,234.94	Professional		$595.89	$851.99	$1,234.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $569.25 / $785.16	Professional		$45.95	$569.25	$785.16
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 $610.90 / $798.21 / $1,304.96	Professional		$610.90	$798.21	$1,304.96