Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.74 / $1,948.99 / $3,619.00	Facility		$746.74	$1,948.99	$3,619.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.74 / $746.74 / $793.42	Professional		$746.74	$746.74	$793.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $577.70 / $948.40 / $1,820.19	Facility		$577.70	$948.40	$1,820.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $840.08 / $1,641.28	Professional		$0.02	$840.08	$1,641.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $933.43	Professional		$793.42	$793.42	$933.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $933.43	Professional		$793.42	$793.42	$933.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $965.32	Professional		$777.86	$777.86	$965.32