Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.59 / $6,193.00 / $11,581.00	Facility		$945.59	$6,193.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.08 / $775.08 / $1,904.85	Professional		$775.08	$775.08	$1,904.85
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 $633.47 / $900.92 / $1,638.62	Professional		$633.47	$900.92	$1,638.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $751.87 / $902.24 / $1,409.76	Facility		$751.87	$902.24	$1,409.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $827.06 / $827.06 / $1,466.15	Professional		$827.06	$827.06	$1,466.15
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 $695.44 / $1,052.60 / $1,582.87	Professional		$695.44	$1,052.60	$1,582.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $751.87 / $1,133.13 / $1,585.43	Professional		$751.87	$1,133.13	$1,585.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $762.29 / $1,090.46	Professional		$75.89	$762.29	$1,090.46
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 $751.92 / $1,015.02 / $1,682.98	Professional		$751.92	$1,015.02	$1,682.98