Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.93 / $4,723.00 / $11,627.00	Facility		$944.93	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.70 / $944.93 / $1,873.90	Professional		$927.70	$944.93	$1,873.90
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 $764.09 / $1,063.11 / $1,826.12	Professional		$764.09	$1,063.11	$1,826.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $897.03 / $1,076.44 / $1,681.94	Facility		$897.03	$1,076.44	$1,681.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $986.73 / $996.32 / $1,749.21	Professional		$986.73	$996.32	$1,749.21
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 $760.31 / $1,255.83 / $1,928.35	Professional		$760.31	$1,255.83	$1,928.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $883.92 / $1,349.09 / $1,863.13	Professional		$883.92	$1,349.09	$1,863.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $829.41 / $1,287.20	Professional		$78.29	$829.41	$1,287.20
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 $907.47 / $1,210.99 / $2,105.46	Professional		$907.47	$1,210.99	$2,105.46