Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.09 / $6,855.15 / $11,735.00	Facility		$618.09	$6,855.15	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.25 / $1,873.35 / $3,332.34	Professional		$380.25	$1,873.35	$3,332.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.67 / $1,409.19 / $2,786.42	Professional		$341.67	$1,409.19	$2,786.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.53 / $484.20 / $611.27	Facility		$332.53	$484.20	$611.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,688.58 / $2,291.36 / $2,993.39	Professional		$1,688.58	$2,291.36	$2,993.39
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 $343.16 / $744.69 / $3,023.55	Professional		$343.16	$744.69	$3,023.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $391.21 / $788.15 / $3,023.55	Professional		$391.21	$788.15	$3,023.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,427.69 / $1,889.99 / $2,587.56	Professional		$1,427.69	$1,889.99	$2,587.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,950.10 / $2,618.19 / $3,771.35	Professional		$1,950.10	$2,618.19	$3,771.35