Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.36 / $4,723.00 / $11,627.00	Facility		$941.36	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $941.36 / $1,915.97	Professional		$932.03	$941.36	$1,915.97
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 $770.26 / $1,060.52 / $1,813.92	Professional		$770.26	$1,060.52	$1,813.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $893.66 / $1,072.39 / $1,675.62	Facility		$893.66	$1,072.39	$1,675.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $983.03 / $1,032.42 / $1,742.64	Professional		$983.03	$1,032.42	$1,742.64
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 $757.52 / $1,269.31 / $1,965.80	Professional		$757.52	$1,269.31	$1,965.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $869.68 / $1,361.19 / $1,904.94	Professional		$869.68	$1,361.19	$1,904.94
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 $913.77 / $1,201.73 / $2,118.54	Professional		$913.77	$1,201.73	$2,118.54