Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.66 / $3,999.00 / $10,268.00	Facility		$480.66	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $1,178.19 / $1,972.63	Professional		$303.89	$1,178.19	$1,972.63
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 $268.20 / $812.60 / $1,802.76	Professional		$268.20	$812.60	$1,802.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $342.00 / $427.77	Facility		$293.77	$342.00	$427.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $889.11 / $1,280.49 / $1,280.49	Professional		$889.11	$1,280.49	$1,280.49
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 $302.41 / $569.14 / $1,886.20	Professional		$302.41	$569.14	$1,886.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.21 / $751.59 / $1,886.20	Professional		$331.21	$751.59	$1,886.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $1,167.57 / $1,746.10	Professional		$101.66	$1,167.57	$1,746.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,821.00	Facility		$2,840.00	$5,998.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.56 / $1,395.23 / $2,100.53	Professional		$1,076.56	$1,395.23	$2,100.53