Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.20 / $5,217.00 / $11,627.00	Facility		$1,049.20	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.49 / $705.58 / $1,862.73	Professional		$674.49	$705.58	$1,862.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.19 / $741.52 / $1,279.56	Professional		$562.19	$741.52	$1,279.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $650.62 / $780.74 / $1,219.92	Facility		$650.62	$780.74	$1,219.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $715.68 / $722.74 / $1,268.72	Professional		$715.68	$722.74	$1,268.72
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 $594.11 / $910.86 / $1,392.32	Professional		$594.11	$910.86	$1,392.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $643.27 / $960.13 / $1,359.11	Professional		$643.27	$960.13	$1,359.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $666.62 / $939.05	Professional		$75.93	$666.62	$939.05
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 $612.28 / $856.15 / $1,440.89	Professional		$612.28	$856.15	$1,440.89