Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.99 / $3,999.00 / $10,268.00	Facility		$597.99	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.35 / $871.97 / $1,521.19	Professional		$370.35	$871.97	$1,521.19
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 $316.80 / $780.76 / $1,533.72	Professional		$316.80	$780.76	$1,533.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.51 / $409.36 / $594.67	Facility		$323.51	$409.36	$594.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $674.73 / $795.22 / $1,409.72	Professional		$674.73	$795.22	$1,409.72
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 $348.88 / $668.48 / $1,420.77	Professional		$348.88	$668.48	$1,420.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.59 / $722.93 / $1,471.84	Professional		$380.59	$722.93	$1,471.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $711.20 / $1,063.69	Professional		$105.85	$711.20	$1,063.69
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 $857.81 / $1,236.31 / $1,756.89	Professional		$857.81	$1,236.31	$1,756.89