Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.34 / $4,723.00 / $11,627.00	Facility		$796.34	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.34 / $796.34 / $1,616.35	Professional		$796.34	$796.34	$1,616.35
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 $606.46 / $857.03 / $1,533.97	Professional		$606.46	$857.03	$1,533.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $771.98 / $926.38 / $1,146.58	Facility		$771.98	$926.38	$1,146.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $631.30 / $849.18 / $849.18	Professional		$631.30	$849.18	$849.18
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 $679.80 / $1,080.77 / $1,626.46	Professional		$679.80	$1,080.77	$1,626.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $771.98 / $1,113.98 / $1,626.46	Professional		$771.98	$1,113.98	$1,626.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $738.85 / $1,091.07	Professional		$115.77	$738.85	$1,091.07
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 $751.58 / $1,042.17 / $1,813.48	Professional		$751.58	$1,042.17	$1,813.48