Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $6,210.00 / $10,635.00	Facility		$950.00	$6,210.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $636.01 / $1,144.84	Professional		$634.29	$636.01	$1,144.84
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 $534.65 / $771.16 / $1,287.66	Professional		$534.65	$771.16	$1,287.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.89 / $764.27 / $1,194.17	Facility		$636.89	$764.27	$1,194.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.58 / $700.58 / $1,241.94	Professional		$700.58	$700.58	$1,241.94
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 $543.26 / $891.65 / $1,362.95	Professional		$543.26	$891.65	$1,362.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $596.03 / $913.20 / $1,356.78	Professional		$596.03	$913.20	$1,356.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $562.50 / $910.40	Professional		$77.58	$562.50	$910.40
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 $583.01 / $794.13 / $1,369.53	Professional		$583.01	$794.13	$1,369.53