Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.54 / $6,410.00 / $11,581.00	Facility		$1,322.54	$6,410.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.10 / $1,096.30 / $1,894.93	Professional		$1,050.10	$1,096.30	$1,894.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.01 / $1,114.47 / $1,939.07	Professional		$893.01	$1,114.47	$1,939.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,210.67 / $2,225.48 / $13,455.71	Facility		$1,210.67	$2,225.48	$13,455.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,314.52 / $2,314.52 / $2,314.52	Professional		$2,314.52	$2,314.52	$2,314.52
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 $1,059.93 / $1,483.78 / $2,480.19	Professional		$1,059.93	$1,483.78	$2,480.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,085.47 / $1,591.69 / $2,480.19	Professional		$1,085.47	$1,591.69	$2,480.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $993.34 / $1,383.89 / $2,227.14	Professional		$993.34	$1,383.89	$2,227.14