Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.40 / $4,723.00 / $11,627.00	Facility		$766.40	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.40 / $766.40 / $1,794.18	Professional		$766.40	$766.40	$1,794.18
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 $659.54 / $961.94 / $1,654.18	Professional		$659.54	$961.94	$1,654.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $905.36 / $1,086.43 / $1,344.70	Facility		$905.36	$1,086.43	$1,344.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $727.53 / $995.90 / $995.90	Professional		$727.53	$995.90	$995.90
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 $800.46 / $1,205.04 / $1,770.41	Professional		$800.46	$1,205.04	$1,770.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $824.94 / $1,267.51 / $1,901.26	Professional		$824.94	$1,267.51	$1,901.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $777.96 / $1,276.01	Professional		$229.13	$777.96	$1,276.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.88 / $1,164.61 / $1,976.26	Professional		$832.88	$1,164.61	$1,976.26