Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.16 / $6,075.00 / $11,627.00	Facility		$1,202.16	$6,075.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.90 / $961.90 / $3,286.00	Professional		$961.90	$961.90	$3,286.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.00 / $5,480.00 / $25,522.00	Facility		$2,202.00	$5,480.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.18 / $1,088.35 / $1,923.67	Professional		$797.18	$1,088.35	$1,923.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $978.18 / $1,173.82 / $1,452.85	Facility		$978.18	$1,173.82	$1,452.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,016.29 / $1,076.00 / $1,076.00	Professional		$1,016.29	$1,076.00	$1,076.00
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 $897.05 / $1,358.77 / $2,064.03	Professional		$897.05	$1,358.77	$2,064.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $978.18 / $1,376.79 / $2,057.92	Professional		$978.18	$1,376.79	$2,057.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $995.25 / $1,417.91	Professional		$75.89	$995.25	$1,417.91
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 $918.15 / $1,292.72 / $2,141.31	Professional		$918.15	$1,292.72	$2,141.31