Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.88 / $6,582.00 / $11,627.00	Facility		$875.88	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.44 / $875.88 / $1,725.48	Professional		$862.44	$875.88	$1,725.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,129.00 / $14,299.15 / $25,723.30	Facility		$5,129.00	$14,299.15	$25,723.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.84 / $1,010.05 / $1,810.47	Professional		$753.84	$1,010.05	$1,810.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $821.18 / $985.42 / $1,219.66	Facility		$821.18	$985.42	$1,219.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $903.30 / $903.30 / $984.84	Professional		$903.30	$903.30	$984.84
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 $763.80 / $1,238.03 / $1,757.32	Professional		$763.80	$1,238.03	$1,757.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $821.18 / $1,260.51 / $1,850.84	Professional		$821.18	$1,260.51	$1,850.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $825.96 / $1,211.49	Professional		$53.53	$825.96	$1,211.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $1,074.49 / $1,816.79	Professional		$776.26	$1,074.49	$1,816.79