Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.66 / $5,355.00 / $10,817.74	Facility		$1,218.66	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.54 / $819.54 / $2,638.22	Professional		$819.54	$819.54	$2,638.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.36 / $876.99 / $1,541.64	Professional		$667.36	$876.99	$1,541.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $756.31 / $907.57 / $1,123.31	Facility		$756.31	$907.57	$1,123.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.94 / $831.94 / $883.85	Professional		$831.94	$831.94	$883.85
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 $641.34 / $1,085.38 / $1,623.79	Professional		$641.34	$1,085.38	$1,623.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $756.31 / $1,144.81 / $1,588.24	Professional		$756.31	$1,144.81	$1,588.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $767.86 / $1,106.68	Professional		$75.89	$767.86	$1,106.68
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 $739.34 / $1,021.02 / $1,778.28	Professional		$739.34	$1,021.02	$1,778.28