Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.70 / $5,616.00 / $10,635.00	Facility		$1,247.70	$5,616.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $839.07 / $2,700.91	Professional		$800.08	$839.07	$2,700.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.42 / $919.47 / $1,621.37	Professional		$710.42	$919.47	$1,621.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $773.88 / $928.66 / $1,149.41	Facility		$773.88	$928.66	$1,149.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.27 / $851.27 / $880.81	Professional		$851.27	$851.27	$880.81
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 $656.27 / $1,097.49 / $1,661.97	Professional		$656.27	$1,097.49	$1,661.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $773.88 / $1,183.64 / $1,605.76	Professional		$773.88	$1,183.64	$1,605.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $803.52 / $1,154.74	Professional		$75.93	$803.52	$1,154.74
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 $770.27 / $1,088.20 / $1,817.27	Professional		$770.27	$1,088.20	$1,817.27