Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.60 / $5,706.00 / $11,581.00	Facility		$1,426.60	$5,706.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.44 / $959.38 / $3,101.67	Professional		$958.44	$959.38	$3,101.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.16 / $1,021.53 / $1,778.94	Professional		$799.16	$1,021.53	$1,778.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $884.75 / $1,061.70 / $1,314.08	Facility		$884.75	$1,061.70	$1,314.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $973.23 / $973.23 / $1,048.00	Professional		$973.23	$973.23	$1,048.00
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 $749.98 / $1,238.66 / $1,904.41	Professional		$749.98	$1,238.66	$1,904.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $884.75 / $1,338.99 / $1,840.00	Professional		$884.75	$1,338.99	$1,840.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $917.68 / $1,299.81	Professional		$115.97	$917.68	$1,299.81
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 $856.40 / $1,173.20 / $1,970.20	Professional		$856.40	$1,173.20	$1,970.20