Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.58 / $5,355.00 / $10,817.74	Facility		$1,418.58	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.99 / $953.99 / $2,518.53	Professional		$953.99	$953.99	$2,518.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.05 / $1,031.80 / $1,822.00	Professional		$807.05	$1,031.80	$1,822.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $879.15 / $1,054.98 / $1,305.76	Facility		$879.15	$1,054.98	$1,305.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $964.18 / $967.07 / $967.07	Professional		$964.18	$967.07	$967.07
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 $765.47 / $1,252.94 / $1,890.41	Professional		$765.47	$1,252.94	$1,890.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $879.15 / $1,349.49 / $1,846.21	Professional		$879.15	$1,349.49	$1,846.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $913.10 / $1,300.29	Professional		$115.97	$913.10	$1,300.29
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 $884.98 / $1,186.84 / $1,950.69	Professional		$884.98	$1,186.84	$1,950.69