Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.53 / $4,085.00 / $10,268.00	Facility		$591.53	$4,085.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.64 / $1,504.32 / $2,660.14	Professional		$367.64	$1,504.32	$2,660.14
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 $294.95 / $944.80 / $2,154.08	Professional		$294.95	$944.80	$2,154.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.41 / $406.71 / $590.84	Facility		$321.41	$406.71	$590.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,123.09 / $1,363.78 / $2,417.61	Professional		$1,123.09	$1,363.78	$2,417.61
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 $348.50 / $683.38 / $2,277.37	Professional		$348.50	$683.38	$2,277.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $362.37 / $816.00 / $2,293.55	Professional		$362.37	$816.00	$2,293.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $1,229.59 / $1,849.97	Professional		$138.86	$1,229.59	$1,849.97
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 $1,289.73 / $1,703.05 / $2,879.58	Professional		$1,289.73	$1,703.05	$2,879.58