Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.89 / $8,037.00 / $11,754.00	Facility		$1,443.89	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.22 / $971.01 / $2,231.83	Professional		$925.22	$971.01	$2,231.83
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 $781.63 / $1,140.20 / $1,770.77	Professional		$781.63	$1,140.20	$1,770.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $944.36 / $1,133.23 / $1,402.61	Facility		$944.36	$1,133.23	$1,402.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.80 / $1,038.80 / $1,114.20	Professional		$1,038.80	$1,038.80	$1,114.20
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 $805.18 / $1,305.95 / $1,968.01	Professional		$805.18	$1,305.95	$1,968.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $944.36 / $1,322.11 / $1,968.01	Professional		$944.36	$1,322.11	$1,968.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.05 / $826.80 / $1,343.68	Professional		$116.05	$826.80	$1,343.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.70 / $1,251.36 / $2,026.95	Professional		$894.70	$1,251.36	$2,026.95