Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.88 / $5,355.00 / $10,817.74	Facility		$1,130.88	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.51 / $760.51 / $2,028.56	Professional		$760.51	$760.51	$2,028.56
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 $590.55 / $807.30 / $1,421.52	Professional		$590.55	$807.30	$1,421.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $722.50 / $867.00 / $1,073.10	Facility		$722.50	$867.00	$1,073.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $756.80 / $794.75 / $794.75	Professional		$756.80	$794.75	$794.75
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 $612.78 / $1,011.50 / $1,558.52	Professional		$612.78	$1,011.50	$1,558.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $686.16 / $1,071.21 / $1,558.52	Professional		$686.16	$1,071.21	$1,558.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $744.53 / $1,060.15	Professional		$75.89	$744.53	$1,060.15
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 $727.90 / $979.28 / $1,692.48	Professional		$727.90	$979.28	$1,692.48