Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.35 / $4,723.00 / $11,627.00	Facility		$922.35	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.35 / $922.35 / $2,270.04	Professional		$922.35	$922.35	$2,270.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,638.88 / $7,944.89 / $15,216.00	Facility		$3,638.88	$7,944.89	$15,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.10 / $1,024.88 / $1,667.05	Professional		$757.10	$1,024.88	$1,667.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $804.13 / $1,170.93 / $1,478.19	Facility		$804.13	$1,170.93	$1,478.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $867.21 / $950.56 / $1,537.32	Professional		$867.21	$950.56	$1,537.32
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 $736.78 / $1,182.70 / $1,784.33	Professional		$736.78	$1,182.70	$1,784.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $827.79 / $1,210.14 / $1,735.61	Professional		$827.79	$1,210.14	$1,735.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $848.44 / $1,174.87	Professional		$46.00	$848.44	$1,174.87
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 $850.65 / $1,121.03 / $1,755.77	Professional		$850.65	$1,121.03	$1,755.77