Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.89 / $4,723.00 / $11,627.00	Facility		$763.89	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.72 / $763.89 / $1,337.50	Professional		$729.72	$763.89	$1,337.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,528.00 / $14,996.00	Facility		$1,794.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.33 / $802.59 / $1,389.41	Professional		$613.33	$802.59	$1,389.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.03 / $844.84 / $1,122.05	Facility		$704.03	$844.84	$1,122.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $774.43 / $811.67 / $1,372.86	Professional		$774.43	$811.67	$1,372.86
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 $604.74 / $985.64 / $1,512.13	Professional		$604.74	$985.64	$1,512.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $695.05 / $1,051.03 / $1,460.98	Professional		$695.05	$1,051.03	$1,460.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $724.57 / $1,048.45	Professional		$75.93	$724.57	$1,048.45
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 $663.11 / $901.26 / $1,561.30	Professional		$663.11	$901.26	$1,561.30