Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.51 / $3,325.00 / $10,635.00	Facility		$1,039.51	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.36 / $792.10 / $2,150.02	Professional		$776.36	$792.10	$2,150.02
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 $642.58 / $864.29 / $1,549.81	Professional		$642.58	$864.29	$1,549.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $752.30 / $902.76 / $1,117.35	Facility		$752.30	$902.76	$1,117.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $827.53 / $827.53 / $868.97	Professional		$827.53	$827.53	$868.97
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 $637.85 / $1,053.22 / $1,616.24	Professional		$637.85	$1,053.22	$1,616.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $748.79 / $1,131.53 / $1,561.57	Professional		$748.79	$1,131.53	$1,561.57
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 $2,904.00 / $6,111.00 / $9,245.00	Facility		$2,904.00	$6,111.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.86 / $1,015.61 / $1,764.92	Professional		$761.86	$1,015.61	$1,764.92