Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.36 / $2,547.00 / $10,268.00	Facility		$319.36	$2,547.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $1,691.96 / $2,515.94	Professional		$175.83	$1,691.96	$2,515.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $1,603.66 / $2,776.89	Professional		$236.44	$1,603.66	$2,776.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.28 / $201.94 / $315.52	Facility		$168.28	$201.94	$315.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,726.42 / $1,909.49 / $3,060.47	Professional		$1,726.42	$1,909.49	$3,060.47
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 $195.85 / $431.35 / $2,916.30	Professional		$195.85	$431.35	$2,916.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $528.20 / $2,981.99	Professional		$201.94	$528.20	$2,981.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,510.87 / $2,024.93 / $2,820.40	Professional		$1,510.87	$2,024.93	$2,820.40
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,687.59 / $2,362.27 / $4,211.43	Professional		$1,687.59	$2,362.27	$4,211.43