Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.54 / $3,325.00 / $10,635.00	Facility		$1,218.54	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.83 / $819.46 / $2,164.07	Professional		$782.83	$819.46	$2,164.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.81 / $866.96 / $1,513.90	Professional		$668.81	$866.96	$1,513.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.90 / $907.08 / $1,122.71	Facility		$755.90	$907.08	$1,122.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.49 / $831.49 / $900.89	Professional		$831.49	$831.49	$900.89
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 $640.79 / $1,066.54 / $1,624.88	Professional		$640.79	$1,066.54	$1,624.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $755.90 / $1,143.73 / $1,569.93	Professional		$755.90	$1,143.73	$1,569.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $767.99 / $1,107.62	Professional		$75.89	$767.99	$1,107.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.47 / $1,020.47 / $1,778.28	Professional		$725.47	$1,020.47	$1,778.28