Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.01 / $8,209.06 / $12,565.00	Facility		$907.01	$8,209.06	$12,565.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.34 / $1,716.29 / $9,341.40	Professional		$520.34	$1,716.29	$9,341.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.29 / $4,134.76 / $8,740.14	Professional		$481.29	$4,134.76	$8,740.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.79 / $484.79 / $705.91	Facility		$484.79	$484.79	$705.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,954.51 / $4,954.51 / $7,187.32	Professional		$4,954.51	$4,954.51	$7,187.32
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 $546.57 / $1,047.83 / $9,464.20	Professional		$546.57	$1,047.83	$9,464.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $570.34 / $1,012.40 / $9,464.20	Professional		$570.34	$1,012.40	$9,464.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,222.24 / $5,607.25 / $7,714.02	Professional		$4,222.24	$5,607.25	$7,714.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $14,170.00 / $25,361.00	Facility		$5,778.00	$14,170.00	$25,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,037.41 / $8,090.13 / $11,990.30	Professional		$6,037.41	$8,090.13	$11,990.30