Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $4,723.00 / $11,627.00	Facility		$917.71	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.48 / $917.71 / $1,825.39	Professional		$903.48	$917.71	$1,825.39
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 $770.77 / $1,053.78 / $1,694.21	Professional		$770.77	$1,053.78	$1,694.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $871.01 / $1,045.21 / $1,388.18	Facility		$871.01	$1,045.21	$1,388.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $958.11 / $1,064.35 / $1,698.47	Professional		$958.11	$1,064.35	$1,698.47
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 $738.57 / $1,260.06 / $1,878.43	Professional		$738.57	$1,260.06	$1,878.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $862.07 / $1,318.07 / $1,814.89	Professional		$862.07	$1,318.07	$1,814.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $923.57 / $1,299.81	Professional		$75.93	$923.57	$1,299.81
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 $884.86 / $1,193.55 / $2,057.44	Professional		$884.86	$1,193.55	$2,057.44