Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.64 / $5,217.00 / $11,627.00	Facility		$1,370.64	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.68 / $921.75 / $2,433.42	Professional		$880.68	$921.75	$2,433.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.89 / $938.42 / $1,592.49	Professional		$667.89	$938.42	$1,592.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.56 / $1,020.67 / $1,263.30	Facility		$850.56	$1,020.67	$1,263.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $888.59 / $935.62 / $935.62	Professional		$888.59	$935.62	$935.62
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 $721.13 / $1,190.78 / $1,825.69	Professional		$721.13	$1,190.78	$1,825.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $802.42 / $1,281.71 / $1,763.95	Professional		$802.42	$1,281.71	$1,763.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $876.60 / $1,248.06	Professional		$115.77	$876.60	$1,248.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.44 / $1,118.80 / $1,887.49	Professional		$804.44	$1,118.80	$1,887.49