Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.62 / $5,706.00 / $11,581.00	Facility		$831.62	$5,706.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $559.26 / $872.45	Professional		$517.50	$559.26	$872.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.88 / $1,154.59 / $2,073.31	Professional		$860.88	$1,154.59	$2,073.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,046.72 / $1,256.06 / $1,396.81	Facility		$1,046.72	$1,256.06	$1,396.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $987.47 / $1,034.50 / $1,034.50	Professional		$987.47	$1,034.50	$1,034.50
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 $234.60 / $290.00 / $432.50	Professional		$234.60	$290.00	$432.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $290.00 / $432.50	Professional		$200.00	$290.00	$432.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $1,068.10 / $1,068.10 / $1,068.10	Professional		$1,068.10	$1,068.10	$1,068.10