Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.33 / $5,355.00 / $10,817.74	Facility		$1,013.33	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.59 / $681.46 / $1,799.05	Professional		$651.59	$681.46	$1,799.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.00 / $8,566.00 / $60,320.00	Facility		$2,807.00	$8,566.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.20 / $781.10 / $1,314.69	Professional		$542.20	$781.10	$1,314.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.10 / $754.92 / $934.37	Facility		$629.10	$754.92	$934.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $650.28 / $692.01 / $692.01	Professional		$650.28	$692.01	$692.01
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 $534.71 / $915.85 / $1,334.47	Professional		$534.71	$915.85	$1,334.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $612.88 / $936.10 / $1,289.33	Professional		$612.88	$936.10	$1,289.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $626.49 / $906.57	Professional		$75.89	$626.49	$906.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,895.00 / $13,279.00 / $21,102.00	Facility		$4,895.00	$13,279.00	$21,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.85 / $821.98 / $1,369.95	Professional		$587.85	$821.98	$1,369.95