Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.35 / $5,355.00 / $10,817.74	Facility		$1,086.35	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.57 / $730.57 / $2,343.12	Professional		$730.57	$730.57	$2,343.12
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 $592.76 / $768.49 / $1,370.56	Professional		$592.76	$768.49	$1,370.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.12 / $808.94 / $1,001.24	Facility		$674.12	$808.94	$1,001.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.00 / $741.53 / $741.53	Professional		$731.00	$741.53	$741.53
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 $571.83 / $943.77 / $1,445.42	Professional		$571.83	$943.77	$1,445.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $674.12 / $1,012.93 / $1,408.45	Professional		$674.12	$1,012.93	$1,408.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $685.21 / $996.93	Professional		$75.89	$685.21	$996.93
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 $624.99 / $910.06 / $1,491.02	Professional		$624.99	$910.06	$1,491.02