Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.36 / $6,251.00 / $11,581.00	Facility		$1,321.36	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.61 / $888.61 / $2,381.44	Professional		$888.61	$888.61	$2,381.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.47 / $993.67 / $1,789.66	Professional		$753.47	$993.67	$1,789.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.90 / $1,373.70 / $1,745.42	Facility		$805.90	$1,373.70	$1,745.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,680.77 / $1,680.77 / $1,680.77	Professional		$1,680.77	$1,680.77	$1,680.77
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 $788.01 / $1,206.71 / $1,816.39	Professional		$788.01	$1,206.71	$1,816.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $861.93 / $1,269.68 / $1,816.39	Professional		$861.93	$1,269.68	$1,816.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $836.96 / $1,242.54	Professional		$114.62	$836.96	$1,242.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.56 / $1,189.15 / $1,936.02	Professional		$841.56	$1,189.15	$1,936.02