Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.39 / $6,582.00 / $11,581.00	Facility		$1,206.39	$6,582.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.29 / $818.51 / $1,643.18	Professional		$811.29	$818.51	$1,643.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,602.00 / $19,117.00	Facility		$2,003.00	$4,602.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.84 / $908.88 / $1,579.15	Professional		$664.84	$908.88	$1,579.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.57 / $952.28 / $1,178.66	Facility		$793.57	$952.28	$1,178.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $829.66 / $872.93 / $872.93	Professional		$829.66	$872.93	$872.93
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 $698.87 / $1,110.99 / $1,656.67	Professional		$698.87	$1,110.99	$1,656.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $793.57 / $1,159.23 / $1,656.67	Professional		$793.57	$1,159.23	$1,656.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $814.47 / $1,157.92	Professional		$75.89	$814.47	$1,157.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.36 / $1,031.23 / $1,732.30	Professional		$770.36	$1,031.23	$1,732.30