Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.60 / $6,251.00 / $11,581.00	Facility		$1,191.60	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.35 / $801.35 / $2,141.09	Professional		$801.35	$801.35	$2,141.09
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 $661.12 / $893.37 / $1,599.30	Professional		$661.12	$893.37	$1,599.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $726.35 / $1,238.09 / $1,573.13	Facility		$726.35	$1,238.09	$1,573.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,514.87 / $1,514.87 / $1,514.87	Professional		$1,514.87	$1,514.87	$1,514.87
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 $702.04 / $1,087.59 / $1,637.45	Professional		$702.04	$1,087.59	$1,637.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $776.85 / $1,146.38 / $1,637.45	Professional		$776.85	$1,146.38	$1,637.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $727.38 / $1,085.52	Professional		$114.62	$727.38	$1,085.52
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 $770.28 / $1,048.75 / $1,722.24	Professional		$770.28	$1,048.75	$1,722.24