Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.36 / $6,251.00 / $11,581.00	Facility		$1,150.36	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.62 / $773.62 / $2,042.36	Professional		$773.62	$773.62	$2,042.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $7,398.00 / $36,529.00	Facility		$2,097.00	$7,398.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.45 / $818.30 / $1,400.09	Professional		$589.45	$818.30	$1,400.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.39 / $898.07 / $1,111.56	Facility		$748.39	$898.07	$1,111.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $653.74 / $823.23 / $823.23	Professional		$653.74	$823.23	$823.23
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 $633.70 / $1,039.94 / $1,571.62	Professional		$633.70	$1,039.94	$1,571.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $1,047.75 / $1,569.36	Professional		$748.39	$1,047.75	$1,569.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $735.16 / $1,092.65	Professional		$115.97	$735.16	$1,092.65
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 $697.31 / $980.92 / $1,639.20	Professional		$697.31	$980.92	$1,639.20