Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.21 / $5,355.00 / $10,817.74	Facility		$1,037.21	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.52 / $697.52 / $1,850.40	Professional		$697.52	$697.52	$1,850.40
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 $492.42 / $705.38 / $1,227.70	Professional		$492.42	$705.38	$1,227.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.96 / $811.15 / $1,267.43	Facility		$675.96	$811.15	$1,267.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $743.56 / $743.56 / $1,318.13	Professional		$743.56	$743.56	$1,318.13
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 $604.74 / $946.34 / $1,424.42	Professional		$604.74	$946.34	$1,424.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $674.96 / $973.80 / $1,424.42	Professional		$674.96	$973.80	$1,424.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $589.15 / $958.82	Professional		$78.29	$589.15	$958.82
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 $634.94 / $912.55 / $1,490.95	Professional		$634.94	$912.55	$1,490.95