Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.25 / $6,599.00 / $15,770.34	Facility		$1,282.25	$6,599.00	$15,770.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.43 / $774.87 / $2,505.62	Professional		$740.43	$774.87	$2,505.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $6,080.00 / $25,522.00	Facility		$2,291.00	$6,080.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $615.71 / $830.02 / $1,462.45	Professional		$615.71	$830.02	$1,462.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $715.06 / $858.07 / $1,340.75	Facility		$715.06	$858.07	$1,340.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $786.57 / $786.57 / $1,394.37	Professional		$786.57	$786.57	$1,394.37
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 $606.04 / $1,001.09 / $1,561.52	Professional		$606.04	$1,001.09	$1,561.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $679.03 / $1,084.83 / $1,561.52	Professional		$679.03	$1,084.83	$1,561.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $734.84 / $1,058.88	Professional		$75.89	$734.84	$1,058.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.28 / $927.56 / $1,593.48	Professional		$709.28	$927.56	$1,593.48