Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.91 / $4,723.00 / $11,627.00	Facility		$927.91	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.91 / $927.91 / $1,840.12	Professional		$927.91	$927.91	$1,840.12
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 $740.87 / $996.89 / $1,780.85	Professional		$740.87	$996.89	$1,780.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.27 / $1,057.52 / $1,652.39	Facility		$881.27	$1,057.52	$1,652.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $969.40 / $969.40 / $1,718.48	Professional		$969.40	$969.40	$1,718.48
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 $747.04 / $1,233.78 / $1,893.58	Professional		$747.04	$1,233.78	$1,893.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $860.79 / $1,322.90 / $1,829.53	Professional		$860.79	$1,322.90	$1,829.53
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 $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 $890.63 / $1,203.58 / $2,070.86	Professional		$890.63	$1,203.58	$2,070.86