Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.65 / $5,355.00 / $10,817.74	Facility		$1,084.65	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.42 / $743.45 / $2,140.29	Professional		$729.42	$743.45	$2,140.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.74 / $693.40 / $1,128.60	Professional		$480.74	$693.40	$1,128.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.33 / $637.33 / $928.05	Facility		$637.33	$637.33	$928.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $669.78 / $687.32 / $687.32	Professional		$669.78	$687.32	$687.32
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 $567.04 / $863.79 / $1,280.72	Professional		$567.04	$863.79	$1,280.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $640.42 / $874.78 / $1,211.86	Professional		$640.42	$874.78	$1,211.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $623.46 / $900.91	Professional		$71.16	$623.46	$900.91
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 $643.70 / $831.82 / $1,324.88	Professional		$643.70	$831.82	$1,324.88