Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.68 / $8,399.00 / $11,561.00	Facility		$1,180.68	$8,399.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $794.00 / $1,613.89	Professional		$794.00	$794.00	$1,613.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.80 / $904.69 / $1,496.54	Professional		$689.80	$904.69	$1,496.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.92 / $925.10 / $1,145.02	Facility		$770.92	$925.10	$1,145.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $848.01 / $848.01 / $920.28	Professional		$848.01	$848.01	$920.28
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 $651.80 / $1,079.29 / $1,664.27	Professional		$651.80	$1,079.29	$1,664.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $770.92 / $1,095.31 / $1,649.77	Professional		$770.92	$1,095.31	$1,649.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $738.85 / $1,091.07	Professional		$115.77	$738.85	$1,091.07
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 $775.44 / $1,097.46 / $1,739.38	Professional		$775.44	$1,097.46	$1,739.38