Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.86 / $7,881.00 / $12,117.00	Facility		$560.86	$7,881.00	$12,117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.94 / $1,733.78 / $7,355.27	Professional		$308.94	$1,733.78	$7,355.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $3,235.90 / $7,196.80	Professional		$293.39	$3,235.90	$7,196.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $299.99 / $299.99 / $436.82	Facility		$299.99	$299.99	$436.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,877.45 / $3,877.45 / $5,918.19	Professional		$3,877.45	$3,877.45	$5,918.19
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 $328.46 / $647.91 / $7,712.06	Professional		$328.46	$647.91	$7,712.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.10 / $626.01 / $7,572.59	Professional		$346.10	$626.01	$7,572.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,271.00 / $4,331.82 / $5,997.05	Professional		$3,271.00	$4,331.82	$5,997.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,856.21 / $6,784.52 / $9,013.08	Professional		$4,856.21	$6,784.52	$9,013.08