Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.26 / $5,052.00 / $9,863.00	Facility		$1,206.26	$5,052.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.24 / $1,206.26 / $2,068.73	Professional		$789.24	$1,206.26	$2,068.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.77 / $1,336.52 / $2,290.06	Professional		$783.77	$1,336.52	$2,290.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.86 / $1,268.10 / $1,268.10	Facility		$870.86	$1,268.10	$1,268.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,411.44 / $1,411.44 / $1,702.90	Professional		$1,411.44	$1,411.44	$1,702.90
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 $810.52 / $1,347.29 / $2,426.08	Professional		$810.52	$1,347.29	$2,426.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $874.02 / $1,370.12 / $2,354.98	Professional		$874.02	$1,370.12	$2,354.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $996.37 / $1,727.62	Professional		$149.06	$996.37	$1,727.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,240.04 / $1,636.91 / $2,562.38	Professional		$1,240.04	$1,636.91	$2,562.38