Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.08 / $5,784.00 / $11,561.00	Facility		$616.08	$5,784.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.81 / $1,536.37 / $2,611.83	Professional		$345.81	$1,536.37	$2,611.83
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 $365.11 / $1,310.89 / $3,824.15	Professional		$365.11	$1,310.89	$3,824.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.15 / $400.98 / $496.30	Facility		$334.15	$400.98	$496.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,376.56 / $1,570.79 / $1,570.79	Professional		$1,376.56	$1,570.79	$1,570.79
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 $357.45 / $1,427.99 / $3,188.67	Professional		$357.45	$1,427.99	$3,188.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $384.27 / $1,481.56 / $3,203.88	Professional		$384.27	$1,481.56	$3,203.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.22 / $1,463.81 / $2,200.46	Professional		$184.22	$1,463.81	$2,200.46
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 $1,629.89 / $2,347.63 / $3,665.55	Professional		$1,629.89	$2,347.63	$3,665.55