Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $8,644.00 / $12,109.00	Facility		$1,000.00	$8,644.00	$12,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.34 / $519.34 / $2,948.37	Professional		$519.34	$519.34	$2,948.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,969.00 / $6,934.00 / $30,285.00	Facility		$2,969.00	$6,934.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.08 / $1,125.68 / $1,898.63	Professional		$738.08	$1,125.68	$1,898.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.30 / $630.37 / $984.96	Facility		$525.30	$630.37	$984.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $577.84 / $778.92 / $1,024.34	Professional		$577.84	$778.92	$1,024.34
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 $525.30 / $1,060.97 / $2,046.81	Professional		$525.30	$1,060.97	$2,046.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $530.57 / $1,060.97 / $2,006.36	Professional		$530.57	$1,060.97	$2,006.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $525.58 / $772.17	Professional		$75.89	$525.58	$772.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,879.00 / $5,832.46 / $9,483.00	Facility		$3,879.00	$5,832.46	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.78 / $1,299.55 / $2,241.17	Professional		$832.78	$1,299.55	$2,241.17