Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.80 / $3,696.00 / $10,635.00	Facility		$1,292.80	$3,696.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.73 / $869.40 / $2,360.62	Professional		$852.73	$869.40	$2,360.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.00 / $943.64 / $1,673.32	Professional		$704.00	$943.64	$1,673.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $825.52 / $990.62 / $1,226.10	Facility		$825.52	$990.62	$1,226.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $908.07 / $908.07 / $968.95	Professional		$908.07	$908.07	$968.95
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 $699.86 / $1,205.17 / $1,775.01	Professional		$699.86	$1,205.17	$1,775.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $815.79 / $1,248.19 / $1,714.97	Professional		$815.79	$1,248.19	$1,714.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $876.60 / $1,248.06	Professional		$75.89	$876.60	$1,248.06
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 $845.08 / $1,127.89 / $1,937.14	Professional		$845.08	$1,127.89	$1,937.14