Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $5,907.00 / $10,635.00	Facility		$950.00	$5,907.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.69 / $550.69 / $1,765.17	Professional		$550.69	$550.69	$1,765.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,918.00 / $19,117.00	Facility		$2,003.00	$4,918.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.92 / $625.23 / $1,049.09	Professional		$438.92	$625.23	$1,049.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $532.61 / $639.13 / $791.06	Facility		$532.61	$639.13	$791.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.87 / $585.87 / $625.73	Professional		$585.87	$585.87	$625.73
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 $472.81 / $745.65 / $1,118.48	Professional		$472.81	$745.65	$1,118.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $532.61 / $756.08 / $1,102.10	Professional		$532.61	$756.08	$1,102.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $529.33 / $774.15	Professional		$75.93	$529.33	$774.15
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 $492.88 / $719.02 / $1,144.21	Professional		$492.88	$719.02	$1,144.21