Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.59 / $4,723.00 / $11,627.00	Facility		$683.59	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.59 / $683.59 / $1,351.83	Professional		$683.59	$683.59	$1,351.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $7,949.51 / $14,996.00	Facility		$3,315.00	$7,949.51	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.78 / $768.39 / $1,294.92	Professional		$539.78	$768.39	$1,294.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $726.29 / $871.55 / $1,078.73	Facility		$726.29	$871.55	$1,078.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.82 / $798.92 / $798.92	Professional		$600.82	$798.92	$798.92
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 $643.58 / $1,000.38 / $1,530.39	Professional		$643.58	$1,000.38	$1,530.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $726.29 / $1,016.80 / $1,530.39	Professional		$726.29	$1,016.80	$1,530.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $608.80 / $1,014.32	Professional		$77.67	$608.80	$1,014.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.45 / $986.35 / $1,638.47	Professional		$709.45	$986.35	$1,638.47