Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.06 / $4,723.00 / $11,627.00	Facility		$964.06	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.06 / $964.06 / $2,525.84	Professional		$964.06	$964.06	$2,525.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.39 / $995.84 / $1,557.92	Professional		$704.39	$995.84	$1,557.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $916.73 / $1,100.08 / $1,718.87	Facility		$916.73	$1,100.08	$1,718.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,008.40 / $1,008.40 / $1,787.63	Professional		$1,008.40	$1,008.40	$1,787.63
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 $773.75 / $1,283.42 / $1,908.89	Professional		$773.75	$1,283.42	$1,908.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $824.76 / $1,287.38 / $1,896.12	Professional		$824.76	$1,287.38	$1,896.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $984.54 / $1,405.07	Professional		$75.93	$984.54	$1,405.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.22 / $1,215.58 / $2,116.25	Professional		$850.22	$1,215.58	$2,116.25