Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.55 / $4,723.00 / $11,627.00	Facility		$986.55	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.55 / $988.72 / $1,957.84	Professional		$986.55	$988.72	$1,957.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.32 / $1,038.70 / $1,670.56	Professional		$818.32	$1,038.70	$1,670.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $860.59 / $1,253.15 / $1,581.98	Facility		$860.59	$1,253.15	$1,581.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $842.07 / $928.09 / $1,645.26	Professional		$842.07	$928.09	$1,645.26
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 $823.82 / $1,181.20 / $1,921.86	Professional		$823.82	$1,181.20	$1,921.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $885.90 / $1,284.55 / $1,856.91	Professional		$885.90	$1,284.55	$1,856.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $867.32 / $1,210.08	Professional		$49.35	$867.32	$1,210.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.31 / $1,214.76 / $2,017.82	Professional		$917.31	$1,214.76	$2,017.82