Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $6,251.00 / $11,581.00	Facility		$1,375.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.45 / $932.90 / $2,462.86	Professional		$918.45	$932.90	$2,462.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $8,450.20 / $15,206.26	Facility		$3,315.00	$8,450.20	$15,206.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.58 / $1,008.66 / $1,801.88	Professional		$741.58	$1,008.66	$1,801.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $885.72 / $1,062.85 / $1,660.73	Facility		$885.72	$1,062.85	$1,660.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $974.29 / $999.37 / $1,727.16	Professional		$974.29	$999.37	$1,727.16
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 $750.54 / $1,277.55 / $1,906.66	Professional		$750.54	$1,277.55	$1,906.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $881.48 / $1,335.91 / $1,842.17	Professional		$881.48	$1,335.91	$1,842.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $811.36 / $1,274.14	Professional		$78.29	$811.36	$1,274.14
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 $906.29 / $1,213.49 / $2,087.41	Professional		$906.29	$1,213.49	$2,087.41