Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.74 / $5,355.00 / $10,817.74	Facility		$1,200.74	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $807.49 / $2,131.77	Professional		$771.87	$807.49	$2,131.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.75 / $859.65 / $1,485.69	Professional		$641.75	$859.65	$1,485.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $744.96 / $893.95 / $1,187.28	Facility		$744.96	$893.95	$1,187.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $819.46 / $819.46 / $1,452.68	Professional		$819.46	$819.46	$1,452.68
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 $631.63 / $1,042.95 / $1,601.35	Professional		$631.63	$1,042.95	$1,601.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $726.83 / $1,114.10 / $1,547.19	Professional		$726.83	$1,114.10	$1,547.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $755.42 / $1,106.68	Professional		$75.89	$755.42	$1,106.68
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 $722.39 / $985.25 / $1,653.55	Professional		$722.39	$985.25	$1,653.55