Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.93 / $5,355.00 / $10,817.74	Facility		$1,602.93	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,077.96 / $1,080.38 / $3,345.84	Professional		$1,077.96	$1,080.38	$3,345.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,199.00 / $7,180.00 / $30,285.00	Facility		$3,199.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.60 / $1,182.49 / $1,916.00	Professional		$837.60	$1,182.49	$1,916.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $940.15 / $940.15 / $940.15	Facility		$940.15	$940.15	$940.15
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 $869.44 / $1,290.40 / $2,066.66	Professional		$869.44	$1,290.40	$2,066.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $945.78 / $1,414.84 / $2,058.87	Professional		$945.78	$1,414.84	$2,058.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $549.44 / $1,378.54	Professional		$50.00	$549.44	$1,378.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $989.64 / $1,296.49 / $2,411.23	Professional		$989.64	$1,296.49	$2,411.23