Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.10 / $8,037.00 / $11,754.00	Facility		$1,332.10	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.83 / $895.83 / $1,817.54	Professional		$895.83	$895.83	$1,817.54
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 $715.05 / $960.20 / $1,740.87	Professional		$715.05	$960.20	$1,740.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $868.66 / $1,042.39 / $1,290.18	Facility		$868.66	$1,042.39	$1,290.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $746.99 / $955.53 / $955.53	Professional		$746.99	$955.53	$955.53
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 $761.43 / $1,216.11 / $1,830.02	Professional		$761.43	$1,216.11	$1,830.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $868.66 / $1,267.92 / $1,830.02	Professional		$868.66	$1,267.92	$1,830.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $859.63 / $1,261.46	Professional		$115.77	$859.63	$1,261.46
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 $848.31 / $1,172.69 / $2,044.03	Professional		$848.31	$1,172.69	$2,044.03