Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.65 / $7,155.00 / $14,579.00	Facility		$1,000.65	$7,155.00	$14,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.93 / $672.93 / $2,169.90	Professional		$672.93	$672.93	$2,169.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,565.00 / $5,480.00 / $25,522.00	Facility		$2,565.00	$5,480.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.24 / $723.88 / $1,259.90	Professional		$551.24	$723.88	$1,259.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.67 / $744.82 / $989.21	Facility		$620.67	$744.82	$989.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $682.75 / $711.16 / $1,210.32	Professional		$682.75	$711.16	$1,210.32
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 $567.54 / $868.96 / $1,348.31	Professional		$567.54	$868.96	$1,348.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $620.67 / $943.36 / $1,348.31	Professional		$620.67	$943.36	$1,348.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $624.86 / $919.11	Professional		$75.93	$624.86	$919.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,796.00 / $13,382.00	Facility		$4,227.00	$8,796.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.65 / $837.92 / $1,389.50	Professional		$595.65	$837.92	$1,389.50