Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.37 / $4,723.00 / $11,627.00	Facility		$839.37	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.48 / $839.37 / $1,663.32	Professional		$828.48	$839.37	$1,663.32
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 $685.23 / $904.92 / $1,612.76	Professional		$685.23	$904.92	$1,612.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $796.52 / $955.82 / $1,493.48	Facility		$796.52	$955.82	$1,493.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $876.17 / $920.30 / $1,553.22	Professional		$876.17	$920.30	$1,553.22
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 $675.43 / $1,115.13 / $1,711.65	Professional		$675.43	$1,115.13	$1,711.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $775.02 / $1,196.57 / $1,653.75	Professional		$775.02	$1,196.57	$1,653.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $819.87 / $1,183.24	Professional		$75.89	$819.87	$1,183.24
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 $807.63 / $1,089.60 / $2,006.35	Professional		$807.63	$1,089.60	$2,006.35