Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.80 / $4,063.90 / $10,428.00	Facility		$701.80	$4,063.90	$10,428.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.10 / $1,259.54 / $2,300.21	Professional		$424.10	$1,259.54	$2,300.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $926.89 / $1,889.31	Professional		$334.02	$926.89	$1,889.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.14 / $469.64 / $682.25	Facility		$371.14	$469.64	$682.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $948.22 / $1,172.35 / $2,078.27	Professional		$948.22	$1,172.35	$2,078.27
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 $401.04 / $789.46 / $1,974.78	Professional		$401.04	$789.46	$1,974.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $418.43 / $958.75 / $2,030.38	Professional		$418.43	$958.75	$2,030.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $1,043.75 / $1,566.12	Professional		$139.76	$1,043.75	$1,566.12
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 $1,227.84 / $1,513.92 / $2,505.54	Professional		$1,227.84	$1,513.92	$2,505.54