Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.15 / $4,723.00 / $11,627.00	Facility		$703.15	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $1,467.80	Professional		$703.15	$703.15	$1,467.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $12,455.21 / $21,287.94	Facility		$4,142.00	$12,455.21	$21,287.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.41 / $821.87 / $1,330.91	Professional		$585.41	$821.87	$1,330.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $666.75 / $800.10 / $1,250.16	Facility		$666.75	$800.10	$1,250.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.43 / $759.14 / $1,300.17	Professional		$733.43	$759.14	$1,300.17
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 $636.34 / $965.59 / $1,429.04	Professional		$636.34	$965.59	$1,429.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $1,023.46 / $1,426.85	Professional		$666.75	$1,023.46	$1,426.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $667.10 / $956.99	Professional		$75.89	$667.10	$956.99
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 $686.72 / $925.11 / $1,574.37	Professional		$686.72	$925.11	$1,574.37