Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.84 / $5,217.00 / $11,627.00	Facility		$1,202.84	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.40 / $1,000.54 / $1,889.91	Professional		$925.40	$1,000.54	$1,889.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.33 / $1,140.20 / $1,855.07	Professional		$881.33	$1,140.20	$1,855.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,111.16 / $1,618.01 / $1,618.01	Facility		$1,111.16	$1,618.01	$1,618.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.38 / $1,198.32 / $1,198.32	Professional		$1,047.38	$1,198.32	$1,198.32
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 $961.84 / $1,405.00 / $2,262.03	Professional		$961.84	$1,405.00	$2,262.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,018.57 / $1,454.18 / $2,262.03	Professional		$1,018.57	$1,454.18	$2,262.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.64 / $838.99 / $1,426.43	Professional		$151.64	$838.99	$1,426.43
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 $915.27 / $1,198.90 / $2,118.48	Professional		$915.27	$1,198.90	$2,118.48