Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.33 / $8,037.00 / $11,754.00	Facility		$1,191.33	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.96 / $801.17 / $2,115.09	Professional		$784.96	$801.17	$2,115.09
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 $651.51 / $880.93 / $1,519.66	Professional		$651.51	$880.93	$1,519.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $757.54 / $909.05 / $1,125.15	Facility		$757.54	$909.05	$1,125.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $833.29 / $833.29 / $896.50	Professional		$833.29	$833.29	$896.50
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 $642.89 / $1,071.27 / $1,599.48	Professional		$642.89	$1,071.27	$1,599.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $757.54 / $1,122.24 / $1,581.31	Professional		$757.54	$1,122.24	$1,581.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $774.14 / $1,139.69	Professional		$75.89	$774.14	$1,139.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.40 / $1,030.36 / $1,750.88	Professional		$757.40	$1,030.36	$1,750.88