Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.43 / $2,814.00 / $10,635.00	Facility		$966.43	$2,814.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.91 / $649.91 / $1,586.47	Professional		$649.91	$649.91	$1,586.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.97 / $760.80 / $1,263.13	Professional		$563.97	$760.80	$1,263.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $689.07 / $826.88 / $1,023.45	Facility		$689.07	$826.88	$1,023.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $730.49 / $757.98 / $757.98	Professional		$730.49	$757.98	$757.98
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 $563.97 / $955.63 / $1,430.14	Professional		$563.97	$955.63	$1,430.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $587.19 / $964.70 / $1,430.14	Professional		$587.19	$964.70	$1,430.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $573.04 / $943.83	Professional		$77.67	$573.04	$943.83
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 $649.88 / $939.50 / $1,494.91	Professional		$649.88	$939.50	$1,494.91