Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $2,892.60 / $10,635.00	Facility		$1,048.00	$2,892.60	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.01 / $896.01 / $1,883.00	Professional		$896.01	$896.01	$1,883.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $21,233.00	Facility		$2,003.00	$4,142.00	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.47 / $933.11 / $1,630.10	Professional		$690.47	$933.11	$1,630.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $826.37 / $991.64 / $1,227.38	Facility		$826.37	$991.64	$1,227.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $816.65 / $909.01 / $909.01	Professional		$816.65	$909.01	$909.01
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 $700.48 / $1,156.92 / $1,780.28	Professional		$700.48	$1,156.92	$1,780.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $808.91 / $1,248.51 / $1,720.07	Professional		$808.91	$1,248.51	$1,720.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $867.00 / $1,235.46	Professional		$115.77	$867.00	$1,235.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,466.00 / $4,404.00 / $6,831.00	Facility		$2,466.00	$4,404.00	$6,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.24 / $1,140.44 / $1,949.33	Professional		$814.24	$1,140.44	$1,949.33