Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.89 / $8,288.00 / $11,627.00	Facility		$1,223.89	$8,288.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.06 / $823.06 / $2,685.44	Professional		$823.06	$823.06	$2,685.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,088.00 / $36,529.00	Facility		$2,097.00	$8,088.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.62 / $983.26 / $1,751.99	Professional		$737.62	$983.26	$1,751.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $797.90 / $957.48 / $1,185.08	Facility		$797.90	$957.48	$1,185.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.37 / $877.69 / $877.69	Professional		$828.37	$877.69	$877.69
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 $674.86 / $1,117.06 / $1,735.50	Professional		$674.86	$1,117.06	$1,735.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $797.90 / $1,224.78 / $1,683.49	Professional		$797.90	$1,224.78	$1,683.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $768.83 / $1,123.33	Professional		$115.97	$768.83	$1,123.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $9,348.00 / $15,000.00	Facility		$4,227.00	$9,348.00	$15,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.66 / $1,077.17 / $1,768.07	Professional		$777.66	$1,077.17	$1,768.07