Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.79 / $7,881.00 / $11,754.00	Facility		$1,362.79	$7,881.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.47 / $916.47 / $2,401.15	Professional		$916.47	$916.47	$2,401.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.43 / $1,198.22 / $2,020.62	Professional		$846.43	$1,198.22	$2,020.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $923.13 / $1,107.76 / $1,730.87	Facility		$923.13	$1,107.76	$1,730.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,015.44 / $1,098.17 / $1,800.11	Professional		$1,015.44	$1,098.17	$1,800.11
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 $790.34 / $1,315.42 / $1,975.49	Professional		$790.34	$1,315.42	$1,975.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $923.13 / $1,409.30 / $1,960.82	Professional		$923.13	$1,409.30	$1,960.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $825.19 / $1,330.31	Professional		$78.92	$825.19	$1,330.31
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 $875.16 / $1,246.23 / $2,063.34	Professional		$875.16	$1,246.23	$2,063.34