Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.38 / $2,727.79 / $10,635.00	Facility		$850.38	$2,727.79	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.39 / $773.07 / $1,370.86	Professional		$768.39	$773.07	$1,370.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $695.33 / $936.10 / $1,674.60	Professional		$695.33	$936.10	$1,674.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $777.47 / $932.96 / $1,457.76	Facility		$777.47	$932.96	$1,457.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $855.22 / $855.22 / $1,516.07	Professional		$855.22	$855.22	$1,516.07
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 $661.98 / $1,088.45 / $1,663.78	Professional		$661.98	$1,088.45	$1,663.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $777.47 / $1,134.82 / $1,660.37	Professional		$777.47	$1,134.82	$1,660.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $673.42 / $1,103.29	Professional		$77.58	$673.42	$1,103.29
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 $756.13 / $1,083.58 / $1,732.08	Professional		$756.13	$1,083.58	$1,732.08