Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.15 / $6,251.00 / $11,581.00	Facility		$1,062.15	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.29 / $714.29 / $1,935.04	Professional		$714.29	$714.29	$1,935.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $5,067.00 / $25,522.00	Facility		$2,291.00	$5,067.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.83 / $864.60 / $1,538.73	Professional		$647.83	$864.60	$1,538.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $647.74 / $1,028.93 / $1,298.93	Facility		$647.74	$1,028.93	$1,298.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $762.04 / $762.04 / $1,350.89	Professional		$762.04	$762.04	$1,350.89
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 $640.11 / $978.46 / $1,460.73	Professional		$640.11	$978.46	$1,460.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $692.76 / $1,042.14 / $1,460.73	Professional		$692.76	$1,042.14	$1,460.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $718.55 / $1,023.66	Professional		$75.89	$718.55	$1,023.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.81 / $954.82 / $1,642.45	Professional		$683.81	$954.82	$1,642.45