Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.28 / $4,723.00 / $11,627.00	Facility		$895.28	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.81 / $895.28 / $1,775.45	Professional		$876.81	$895.28	$1,775.45
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 $705.92 / $958.28 / $1,726.67	Professional		$705.92	$958.28	$1,726.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $849.23 / $1,019.08 / $1,261.33	Facility		$849.23	$1,019.08	$1,261.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.92 / $934.15 / $934.15	Professional		$933.92	$934.15	$934.15
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 $719.96 / $1,188.92 / $1,827.04	Professional		$719.96	$1,188.92	$1,827.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $832.06 / $1,281.59 / $1,765.25	Professional		$832.06	$1,281.59	$1,765.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $878.47 / $1,257.86	Professional		$75.89	$878.47	$1,257.86
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 $858.35 / $1,146.46 / $1,995.79	Professional		$858.35	$1,146.46	$1,995.79