Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.63 / $4,723.00 / $10,817.74	Facility		$1,092.63	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.79 / $734.79 / $2,359.14	Professional		$734.79	$734.79	$2,359.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.39 / $775.83 / $1,385.95	Professional		$598.39	$775.83	$1,385.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $677.69 / $813.23 / $1,006.55	Facility		$677.69	$813.23	$1,006.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $745.46 / $745.46 / $748.07	Professional		$745.46	$745.46	$748.07
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 $575.98 / $948.77 / $1,455.31	Professional		$575.98	$948.77	$1,455.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $677.69 / $1,040.26 / $1,410.42	Professional		$677.69	$1,040.26	$1,410.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $684.77 / $999.39	Professional		$75.89	$684.77	$999.39
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 $633.77 / $914.88 / $1,500.48	Professional		$633.77	$914.88	$1,500.48