Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.49 / $5,355.00 / $10,817.74	Facility		$946.49	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.51 / $636.51 / $2,072.04	Professional		$636.51	$636.51	$2,072.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.42 / $684.42 / $1,126.91	Professional		$519.42	$684.42	$1,126.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $554.79 / $807.86 / $866.88	Facility		$554.79	$807.86	$866.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $598.30 / $697.41 / $1,060.65	Professional		$598.30	$697.41	$1,060.65
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 $565.66 / $830.72 / $1,153.28	Professional		$565.66	$830.72	$1,153.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $625.50 / $840.48 / $1,156.11	Professional		$625.50	$840.48	$1,156.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $576.25 / $804.51	Professional		$45.95	$576.25	$804.51
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 $620.55 / $811.47 / $1,423.77	Professional		$620.55	$811.47	$1,423.77