Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.33 / $5,135.00 / $11,627.00	Facility		$772.33	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.33 / $772.33 / $1,566.57	Professional		$772.33	$772.33	$1,566.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.73 / $827.93 / $1,483.85	Professional		$624.73	$827.93	$1,483.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $749.31 / $899.17 / $1,112.92	Facility		$749.31	$899.17	$1,112.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.99 / $824.24 / $824.24	Professional		$641.99	$824.24	$824.24
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 $650.52 / $1,049.04 / $1,577.56	Professional		$650.52	$1,049.04	$1,577.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $749.31 / $1,084.63 / $1,577.56	Professional		$749.31	$1,084.63	$1,577.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $723.57 / $1,048.45	Professional		$115.97	$723.57	$1,048.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.22 / $1,011.57 / $1,772.50	Professional		$705.22	$1,011.57	$1,772.50