Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.23 / $4,723.00 / $11,627.00	Facility		$815.23	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.23 / $815.23 / $2,461.75	Professional		$815.23	$815.23	$2,461.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $805.47 / $1,313.39	Professional		$555.79	$805.47	$1,313.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $710.10 / $710.10 / $1,034.01	Facility		$710.10	$710.10	$1,034.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $704.51 / $765.80 / $765.80	Professional		$704.51	$765.80	$765.80
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 $566.32 / $974.65 / $1,489.60	Professional		$566.32	$974.65	$1,489.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $711.10 / $982.03 / $1,484.51	Professional		$711.10	$982.03	$1,484.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $740.86 / $1,022.17	Professional		$45.95	$740.86	$1,022.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.46 / $1,011.57 / $1,546.80	Professional		$757.46	$1,011.57	$1,546.80