Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.70 / $5,017.00 / $11,627.00	Facility		$782.70	$5,017.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $1,533.46 / $2,606.88	Professional		$445.70	$1,533.46	$2,606.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.00 / $5,773.00 / $19,117.00	Facility		$2,258.00	$5,773.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.19 / $1,365.06 / $3,264.44	Professional		$446.19	$1,365.06	$3,264.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.92 / $517.10 / $640.03	Facility		$430.92	$517.10	$640.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,557.95 / $1,557.95 / $2,483.46	Professional		$1,557.95	$1,557.95	$2,483.46
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 $452.47 / $1,472.96 / $2,916.35	Professional		$452.47	$1,472.96	$2,916.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $487.49 / $1,487.14 / $3,181.10	Professional		$487.49	$1,487.14	$3,181.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.32 / $1,401.92 / $2,125.21	Professional		$220.32	$1,401.92	$2,125.21
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 $1,623.72 / $2,367.13 / $3,779.43	Professional		$1,623.72	$2,367.13	$3,779.43