Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $5,355.00 / $11,581.00	Facility		$900.00	$5,355.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.73 / $603.30 / $1,943.63	Professional		$576.73	$603.30	$1,943.63
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 $466.13 / $635.41 / $1,134.84	Professional		$466.13	$635.41	$1,134.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.61 / $667.93 / $1,043.64	Facility		$556.61	$667.93	$1,043.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $612.27 / $658.53 / $1,085.39	Professional		$612.27	$658.53	$1,085.39
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 $472.14 / $779.25 / $1,195.90	Professional		$472.14	$779.25	$1,195.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $537.99 / $829.25 / $1,155.45	Professional		$537.99	$829.25	$1,155.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $557.73 / $801.77	Professional		$75.93	$557.73	$801.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.52 / $736.66 / $1,234.45	Professional		$536.52	$736.66	$1,234.45