Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.69 / $3,602.00 / $10,635.00	Facility		$1,146.69	$3,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.14 / $771.14 / $1,503.72	Professional		$771.14	$771.14	$1,503.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,173.00 / $36,529.00	Facility		$2,097.00	$8,173.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.04 / $903.55 / $1,500.72	Professional		$670.04	$903.55	$1,500.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.70 / $981.24 / $1,214.49	Facility		$817.70	$981.24	$1,214.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $867.89 / $899.47 / $899.47	Professional		$867.89	$899.47	$899.47
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 $670.05 / $1,135.33 / $1,698.43	Professional		$670.05	$1,135.33	$1,698.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $697.58 / $1,144.78 / $1,698.43	Professional		$697.58	$1,144.78	$1,698.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $801.64 / $1,167.15	Professional		$115.16	$801.64	$1,167.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.99 / $1,086.44 / $1,775.97	Professional		$768.99	$1,086.44	$1,775.97