Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.03 / $4,723.00 / $11,627.00	Facility		$727.03	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.03 / $727.03 / $1,701.30	Professional		$727.03	$727.03	$1,701.30
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 $717.89 / $975.54 / $1,705.11	Professional		$717.89	$975.54	$1,705.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $859.38 / $1,031.26 / $1,276.40	Facility		$859.38	$1,031.26	$1,276.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $734.52 / $945.32 / $945.32	Professional		$734.52	$945.32	$945.32
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 $782.02 / $1,203.13 / $1,804.69	Professional		$782.02	$1,203.13	$1,804.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $786.06 / $1,256.08 / $1,805.97	Professional		$786.06	$1,256.08	$1,805.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $641.05 / $1,122.56	Professional		$157.63	$641.05	$1,122.56
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 $809.28 / $1,124.27 / $1,866.72	Professional		$809.28	$1,124.27	$1,866.72