Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.61 / $6,251.00 / $11,581.00	Facility		$1,251.61	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.71 / $841.71 / $1,708.66	Professional		$841.71	$841.71	$1,708.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.46 / $906.41 / $1,682.56	Professional		$650.46	$906.41	$1,682.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $815.74 / $978.89 / $1,529.52	Facility		$815.74	$978.89	$1,529.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,590.69 / $1,590.69 / $1,590.69	Professional		$1,590.69	$1,590.69	$1,590.69
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 $742.68 / $1,142.03 / $1,720.10	Professional		$742.68	$1,142.03	$1,720.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $815.74 / $1,180.00 / $1,720.10	Professional		$815.74	$1,180.00	$1,720.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $767.86 / $1,153.38	Professional		$114.62	$767.86	$1,153.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.86 / $1,081.39 / $1,833.74	Professional		$764.86	$1,081.39	$1,833.74