Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.15 / $6,582.00 / $11,627.00	Facility		$944.15	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.66 / $944.15 / $1,543.33	Professional		$933.66	$944.15	$1,543.33
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 $769.92 / $1,052.58 / $1,792.70	Professional		$769.92	$1,052.58	$1,792.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $890.09 / $1,068.10 / $1,322.02	Facility		$890.09	$1,068.10	$1,322.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $979.10 / $979.10 / $1,073.63	Professional		$979.10	$979.10	$1,073.63
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 $740.27 / $1,247.65 / $1,904.79	Professional		$740.27	$1,247.65	$1,904.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $823.23 / $1,283.86 / $1,904.79	Professional		$823.23	$1,283.86	$1,904.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $940.05 / $1,360.29	Professional		$75.89	$940.05	$1,360.29
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 $822.92 / $1,152.50 / $1,965.11	Professional		$822.92	$1,152.50	$1,965.11