Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.51 / $5,135.00 / $10,817.74	Facility		$913.51	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.33 / $614.33 / $1,773.34	Professional		$614.33	$614.33	$1,773.34
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 $572.14 / $794.26 / $1,347.62	Professional		$572.14	$794.26	$1,347.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.29 / $741.96 / $1,159.32	Facility		$618.29	$741.96	$1,159.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $680.13 / $680.13 / $1,205.69	Professional		$680.13	$680.13	$1,205.69
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 $526.48 / $865.62 / $1,323.17	Professional		$526.48	$865.62	$1,323.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $608.75 / $906.90 / $1,316.51	Professional		$608.75	$906.90	$1,316.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $619.59 / $887.41	Professional		$75.93	$619.59	$887.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.44 / $814.18 / $1,376.88	Professional		$598.44	$814.18	$1,376.88