Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.20 / $6,251.00 / $11,581.00	Facility		$1,318.20	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.48 / $886.48 / $2,375.27	Professional		$886.48	$886.48	$2,375.27
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 $691.74 / $950.85 / $1,756.85	Professional		$691.74	$950.85	$1,756.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $803.70 / $1,369.95 / $1,740.65	Facility		$803.70	$1,369.95	$1,740.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,676.18 / $1,676.18 / $1,676.18	Professional		$1,676.18	$1,676.18	$1,676.18
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 $777.64 / $1,196.75 / $1,812.00	Professional		$777.64	$1,196.75	$1,812.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $859.58 / $1,216.74 / $1,807.84	Professional		$859.58	$1,216.74	$1,807.84
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 $832.76 / $1,172.84 / $2,267.62	Professional		$832.76	$1,172.84	$2,267.62