Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.43 / $6,021.00 / $11,627.00	Facility		$1,220.43	$6,021.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.28 / $820.73 / $1,625.37	Professional		$781.28	$820.73	$1,625.37
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 $698.69 / $948.07 / $1,584.08	Professional		$698.69	$948.07	$1,584.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.94 / $935.93 / $1,158.42	Facility		$779.94	$935.93	$1,158.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $857.93 / $857.93 / $910.30	Professional		$857.93	$857.93	$910.30
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 $661.35 / $1,091.92 / $1,672.59	Professional		$661.35	$1,091.92	$1,672.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $756.72 / $1,165.78 / $1,616.02	Professional		$756.72	$1,165.78	$1,616.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $803.52 / $1,154.74	Professional		$75.93	$803.52	$1,154.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.19 / $1,063.99 / $1,963.77	Professional		$790.19	$1,063.99	$1,963.77