Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.47 / $1,127.83 / $3,133.94	Facility		$758.47	$1,127.83	$3,133.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.47 / $776.63 / $1,999.85	Professional		$758.47	$776.63	$1,999.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,722.00 / $7,755.10 / $13,314.43	Facility		$2,722.00	$7,755.10	$13,314.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.06 / $1,371.36 / $2,399.88	Professional		$917.06	$1,371.36	$2,399.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $895.09 / $1,076.93 / $1,332.93	Facility		$895.09	$1,076.93	$1,332.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $987.18 / $987.18 / $1,159.33	Professional		$987.18	$987.18	$1,159.33
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 $835.68 / $1,265.08 / $1,884.63	Professional		$835.68	$1,265.08	$1,884.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $843.60 / $1,359.70 / $1,887.29	Professional		$843.60	$1,359.70	$1,887.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $857.72 / $1,117.20 / $1,474.71	Professional		$857.72	$1,117.20	$1,474.71
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 $893.81 / $1,178.81 / $1,706.83	Professional		$893.81	$1,178.81	$1,706.83