Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.13 / $4,723.00 / $11,627.00	Facility		$906.13	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.13 / $906.13 / $1,817.62	Professional		$906.13	$906.13	$1,817.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,965.67 / $4,089.29 / $7,640.32	Facility		$1,965.67	$4,089.29	$7,640.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.26 / $959.09 / $1,761.92	Professional		$655.26	$959.09	$1,761.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $958.52 / $1,154.28 / $1,428.67	Facility		$958.52	$1,154.28	$1,428.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.14 / $1,058.08 / $1,058.08	Professional		$759.14	$1,058.08	$1,058.08
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 $816.64 / $1,328.80 / $2,033.22	Professional		$816.64	$1,328.80	$2,033.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $907.11 / $1,348.27 / $2,033.22	Professional		$907.11	$1,348.27	$2,033.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $832.34 / $1,366.87	Professional		$114.26	$832.34	$1,366.87
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 $947.11 / $1,298.57 / $2,187.35	Professional		$947.11	$1,298.57	$2,187.35