Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.92 / $5,355.00 / $10,817.74	Facility		$1,038.92	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.72 / $766.72 / $2,163.27	Professional		$766.72	$766.72	$2,163.27
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 $664.77 / $908.53 / $1,601.02	Professional		$664.77	$908.53	$1,601.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $768.89 / $922.67 / $1,441.67	Facility		$768.89	$922.67	$1,441.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $845.78 / $845.78 / $1,499.34	Professional		$845.78	$845.78	$1,499.34
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 $655.54 / $1,076.45 / $1,645.43	Professional		$655.54	$1,076.45	$1,645.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $738.19 / $1,101.11 / $1,637.61	Professional		$738.19	$1,101.11	$1,637.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $676.26 / $1,086.91	Professional		$77.58	$676.26	$1,086.91
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 $756.33 / $1,038.00 / $1,656.71	Professional		$756.33	$1,038.00	$1,656.71