Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.57 / $4,590.00 / $10,817.74	Facility		$1,098.57	$4,590.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.04 / $837.04 / $2,274.46	Professional		$837.04	$837.04	$2,274.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.21 / $944.40 / $1,629.27	Professional		$703.21	$944.40	$1,629.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.99 / $952.79 / $1,179.29	Facility		$793.99	$952.79	$1,179.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $873.39 / $873.39 / $919.06	Professional		$873.39	$873.39	$919.06
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 $673.14 / $1,120.65 / $1,699.14	Professional		$673.14	$1,120.65	$1,699.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $793.99 / $1,190.43 / $1,653.65	Professional		$793.99	$1,190.43	$1,653.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $847.68 / $1,196.25	Professional		$75.89	$847.68	$1,196.25
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 $804.18 / $1,045.79 / $1,857.94	Professional		$804.18	$1,045.79	$1,857.94