Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.50 / $2,602.00 / $10,268.00	Facility		$271.50	$2,602.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.18 / $1,730.36 / $3,231.78	Professional		$164.18	$1,730.36	$3,231.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $1,323.36 / $2,723.13	Professional		$136.71	$1,323.36	$2,723.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.99 / $209.66 / $264.68	Facility		$143.99	$209.66	$264.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,585.73 / $2,079.94 / $2,811.06	Professional		$1,585.73	$2,079.94	$2,811.06
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 $155.28 / $336.26 / $2,843.42	Professional		$155.28	$336.26	$2,843.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $336.26 / $2,818.26	Professional		$169.40	$336.26	$2,818.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,361.82 / $1,802.41 / $2,476.23	Professional		$1,361.82	$1,802.41	$2,476.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,796.00 / $14,134.00	Facility		$4,070.00	$8,796.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.35 / $2,162.34 / $3,229.00	Professional		$1,510.35	$2,162.34	$3,229.00