Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.32 / $3,999.00 / $10,268.00	Facility		$594.32	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.95 / $594.32 / $1,095.68	Professional		$435.95	$594.32	$1,095.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.20 / $544.49 / $986.49	Professional		$390.20	$544.49	$986.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $442.97 / $531.55 / $830.57	Facility		$442.97	$531.55	$830.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.47 / $656.47 / $1,163.75	Professional		$656.47	$656.47	$1,163.75
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 $459.88 / $706.98 / $1,258.48	Professional		$459.88	$706.98	$1,258.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $466.74 / $728.08 / $1,258.48	Professional		$466.74	$728.08	$1,258.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $558.92 / $742.69 / $989.76	Professional		$558.92	$742.69	$989.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.66 / $792.55 / $1,262.25	Professional		$514.66	$792.55	$1,262.25