Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.75 / $3,325.00 / $10,635.00	Facility		$1,036.75	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.44 / $790.44 / $2,143.53	Professional		$790.44	$790.44	$2,143.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,778.00 / $8,483.00 / $60,320.00	Facility		$2,778.00	$8,483.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.71 / $833.22 / $1,526.30	Professional		$620.71	$833.22	$1,526.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $750.74 / $900.89 / $1,115.05	Facility		$750.74	$900.89	$1,115.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $819.49 / $825.81 / $825.81	Professional		$819.49	$825.81	$825.81
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 $636.52 / $1,051.03 / $1,612.15	Professional		$636.52	$1,051.03	$1,612.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $721.53 / $1,132.27 / $1,557.63	Professional		$721.53	$1,132.27	$1,557.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $787.72 / $1,119.52	Professional		$75.89	$787.72	$1,119.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.55 / $1,013.50 / $1,761.23	Professional		$759.55	$1,013.50	$1,761.23