Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.46 / $4,723.00 / $11,627.00	Facility		$883.46	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.14 / $883.46 / $1,752.79	Professional		$866.14	$883.46	$1,752.79
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 $717.39 / $952.90 / $1,693.69	Professional		$717.39	$952.90	$1,693.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $838.75 / $1,006.50 / $1,572.66	Facility		$838.75	$1,006.50	$1,572.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $922.63 / $948.15 / $1,635.57	Professional		$922.63	$948.15	$1,635.57
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 $711.11 / $1,174.25 / $1,803.71	Professional		$711.11	$1,174.25	$1,803.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $817.51 / $1,258.96 / $1,742.71	Professional		$817.51	$1,258.96	$1,742.71
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 $847.35 / $1,105.76 / $1,970.23	Professional		$847.35	$1,105.76	$1,970.23