Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.75 / $5,355.00 / $10,817.74	Facility		$1,369.75	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.00 / $921.15 / $2,504.23	Professional		$905.00	$921.15	$2,504.23
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 $707.45 / $990.43 / $1,739.57	Professional		$707.45	$990.43	$1,739.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.60 / $1,049.52 / $1,639.88	Facility		$874.60	$1,049.52	$1,639.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $962.06 / $962.06 / $1,705.47	Professional		$962.06	$962.06	$1,705.47
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 $741.41 / $1,224.44 / $1,876.85	Professional		$741.41	$1,224.44	$1,876.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $874.60 / $1,320.07 / $1,813.37	Professional		$874.60	$1,320.07	$1,813.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $822.42 / $1,278.96	Professional		$78.29	$822.42	$1,278.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.56 / $1,166.33 / $2,036.71	Professional		$881.56	$1,166.33	$2,036.71