Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.69 / $4,723.00 / $11,627.00	Facility		$977.69	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.39 / $977.69 / $1,939.84	Professional		$960.39	$977.69	$1,939.84
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 $796.89 / $1,082.86 / $1,905.02	Professional		$796.89	$1,082.86	$1,905.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $927.57 / $1,113.08 / $1,739.19	Facility		$927.57	$1,113.08	$1,739.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,020.33 / $1,020.33 / $1,808.76	Professional		$1,020.33	$1,020.33	$1,808.76
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 $786.25 / $1,298.59 / $1,996.20	Professional		$786.25	$1,298.59	$1,996.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $916.60 / $1,423.82 / $1,941.51	Professional		$916.60	$1,423.82	$1,941.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $866.54 / $1,334.95	Professional		$78.29	$866.54	$1,334.95
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 $952.60 / $1,278.93 / $2,186.33	Professional		$952.60	$1,278.93	$2,186.33