Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.81 / $4,723.00 / $11,627.00	Facility		$813.81	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.81 / $813.81 / $1,649.66	Professional		$813.81	$813.81	$1,649.66
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 $610.42 / $870.44 / $1,579.01	Professional		$610.42	$870.44	$1,579.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $788.95 / $946.74 / $1,171.80	Facility		$788.95	$946.74	$1,171.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $682.84 / $867.85 / $867.85	Professional		$682.84	$867.85	$867.85
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 $695.22 / $1,104.54 / $1,662.65	Professional		$695.22	$1,104.54	$1,662.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $788.95 / $1,142.81 / $1,662.65	Professional		$788.95	$1,142.81	$1,662.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $744.18 / $1,112.19	Professional		$115.97	$744.18	$1,112.19
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 $738.73 / $1,055.88 / $1,767.00	Professional		$738.73	$1,055.88	$1,767.00