Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.22 / $4,723.00 / $11,627.00	Facility		$767.22	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.22 / $767.22 / $1,520.82	Professional		$767.22	$767.22	$1,520.82
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 $622.99 / $831.96 / $1,464.11	Professional		$622.99	$831.96	$1,464.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $728.16 / $873.79 / $1,081.50	Facility		$728.16	$873.79	$1,081.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $800.98 / $800.98 / $843.13	Professional		$800.98	$800.98	$843.13
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 $617.46 / $1,019.42 / $1,564.99	Professional		$617.46	$1,019.42	$1,564.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $715.42 / $1,117.72 / $1,512.06	Professional		$715.42	$1,117.72	$1,512.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $738.42 / $1,091.07	Professional		$75.89	$738.42	$1,091.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,874.00 / $5,625.00 / $7,821.00	Facility		$2,874.00	$5,625.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.80 / $983.02 / $1,709.48	Professional		$741.80	$983.02	$1,709.48