Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.49 / $3,696.00 / $11,627.00	Facility		$741.49	$3,696.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.70 / $704.70 / $1,410.27	Professional		$704.70	$704.70	$1,410.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.76 / $865.10 / $1,434.72	Professional		$607.76	$865.10	$1,434.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $668.96 / $802.75 / $1,254.30	Facility		$668.96	$802.75	$1,254.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.86 / $864.14 / $1,304.48	Professional		$735.86	$864.14	$1,304.48
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 $622.36 / $1,013.17 / $1,451.24	Professional		$622.36	$1,013.17	$1,451.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $668.96 / $1,026.84 / $1,402.16	Professional		$668.96	$1,026.84	$1,402.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $634.09 / $835.96 / $1,114.61	Professional		$634.09	$835.96	$1,114.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.27 / $923.63 / $1,596.88	Professional		$691.27	$923.63	$1,596.88