Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.75 / $4,723.00 / $11,627.00	Facility		$877.75	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.29 / $877.75 / $1,739.82	Professional		$860.29	$877.75	$1,739.82
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 $707.33 / $947.99 / $1,672.98	Professional		$707.33	$947.99	$1,672.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $833.36 / $1,000.03 / $1,237.75	Facility		$833.36	$1,000.03	$1,237.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $916.70 / $916.70 / $930.48	Professional		$916.70	$916.70	$930.48
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 $706.53 / $1,166.70 / $1,790.37	Professional		$706.53	$1,166.70	$1,790.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $817.65 / $1,255.24 / $1,729.81	Professional		$817.65	$1,255.24	$1,729.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $876.60 / $1,248.06	Professional		$75.89	$876.60	$1,248.06
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 $841.34 / $1,125.04 / $1,955.75	Professional		$841.34	$1,125.04	$1,955.75