Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.30 / $5,135.00 / $11,627.00	Facility		$711.30	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.44 / $711.30 / $1,877.83	Professional		$694.44	$711.30	$1,877.83
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 $555.94 / $762.05 / $1,343.10	Professional		$555.94	$762.05	$1,343.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.15 / $810.18 / $1,002.78	Facility		$675.15	$810.18	$1,002.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $739.81 / $742.67 / $742.67	Professional		$739.81	$742.67	$742.67
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 $604.74 / $945.21 / $1,450.45	Professional		$604.74	$945.21	$1,450.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $658.44 / $1,011.81 / $1,401.39	Professional		$658.44	$1,011.81	$1,401.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $684.77 / $999.39	Professional		$75.89	$684.77	$999.39
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 $680.43 / $911.45 / $1,582.10	Professional		$680.43	$911.45	$1,582.10