Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.08 / $4,723.00 / $11,627.00	Facility		$698.08	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.08 / $698.08 / $1,453.33	Professional		$698.08	$698.08	$1,453.33
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 $576.80 / $778.90 / $1,418.37	Professional		$576.80	$778.90	$1,418.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.63 / $795.16 / $984.18	Facility		$662.63	$795.16	$984.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $728.89 / $728.89 / $783.58	Professional		$728.89	$728.89	$783.58
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 $604.74 / $953.82 / $1,440.95	Professional		$604.74	$953.82	$1,440.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $662.63 / $993.54 / $1,440.95	Professional		$662.63	$993.54	$1,440.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $667.10 / $956.99	Professional		$75.89	$667.10	$956.99
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 $668.40 / $894.55 / $1,575.50	Professional		$668.40	$894.55	$1,575.50