Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.94 / $6,064.00 / $11,561.00	Facility		$951.94	$6,064.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.98 / $574.98 / $1,013.10	Professional		$574.98	$574.98	$1,013.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.74 / $562.74 / $923.16	Professional		$394.74	$562.74	$923.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $530.89 / $637.07 / $995.42	Facility		$530.89	$637.07	$995.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $583.98 / $583.98 / $1,035.24	Professional		$583.98	$583.98	$1,035.24
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 $480.65 / $732.29 / $1,110.56	Professional		$480.65	$732.29	$1,110.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $507.94 / $743.25 / $1,106.64	Professional		$507.94	$743.25	$1,106.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $540.46 / $768.76	Professional		$75.89	$540.46	$768.76
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 $463.68 / $699.96 / $1,176.74	Professional		$463.68	$699.96	$1,176.74