Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.86 / $5,355.00 / $10,817.74	Facility		$1,029.86	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.58 / $692.58 / $1,403.41	Professional		$692.58	$692.58	$1,403.41
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 $566.49 / $774.42 / $1,345.55	Professional		$566.49	$774.42	$1,345.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.16 / $805.39 / $996.84	Facility		$671.16	$805.39	$996.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.62 / $738.28 / $738.28	Professional		$575.62	$738.28	$738.28
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 $515.89 / $939.62 / $1,414.89	Professional		$515.89	$939.62	$1,414.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $952.48 / $1,414.89	Professional		$534.79	$952.48	$1,414.89
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 $649.46 / $913.01 / $1,759.56	Professional		$649.46	$913.01	$1,759.56