Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.85 / $4,723.00 / $11,627.00	Facility		$921.85	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.16 / $921.85 / $1,827.85	Professional		$904.16	$921.85	$1,827.85
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 $777.80 / $1,062.48 / $1,801.50	Professional		$777.80	$1,062.48	$1,801.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.93 / $1,049.92 / $1,640.49	Facility		$874.93	$1,049.92	$1,640.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $962.42 / $1,017.92 / $1,706.12	Professional		$962.42	$1,017.92	$1,706.12
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 $741.68 / $1,228.13 / $1,880.94	Professional		$741.68	$1,228.13	$1,880.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $874.93 / $1,315.85 / $1,817.33	Professional		$874.93	$1,315.85	$1,817.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $822.42 / $1,278.96	Professional		$78.29	$822.42	$1,278.96
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 $893.97 / $1,195.08 / $2,054.03	Professional		$893.97	$1,195.08	$2,054.03