Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.23 / $7,745.78 / $11,735.00	Facility		$1,397.23	$7,745.78	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.63 / $939.63 / $2,716.47	Professional		$939.63	$939.63	$2,716.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.65 / $1,220.93 / $2,040.16	Professional		$850.65	$1,220.93	$2,040.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $945.77 / $1,134.92 / $1,507.32	Facility		$945.77	$1,134.92	$1,507.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,040.34 / $1,086.81 / $1,844.25	Professional		$1,040.34	$1,086.81	$1,844.25
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 $804.76 / $1,324.08 / $2,023.94	Professional		$804.76	$1,324.08	$2,023.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $945.77 / $1,377.62 / $2,016.10	Professional		$945.77	$1,377.62	$2,016.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $857.69 / $1,357.83	Professional		$78.92	$857.69	$1,357.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.59 / $1,275.80 / $2,110.64	Professional		$930.59	$1,275.80	$2,110.64