Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.08 / $5,201.00 / $11,627.00	Facility		$1,081.08	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.70 / $884.16 / $1,669.45	Professional		$820.70	$884.16	$1,669.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,674.00 / $8,800.00	Facility		$1,145.00	$2,674.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.56 / $1,024.82 / $1,690.23	Professional		$800.56	$1,024.82	$1,690.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $980.70 / $1,428.03 / $1,428.03	Facility		$980.70	$1,428.03	$1,428.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $960.64 / $1,057.61 / $1,057.61	Professional		$960.64	$1,057.61	$1,057.61
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 $847.78 / $1,211.74 / $1,993.93	Professional		$847.78	$1,211.74	$1,993.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $898.86 / $1,295.40 / $1,993.93	Professional		$898.86	$1,295.40	$1,993.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $746.66 / $1,280.81	Professional		$75.89	$746.66	$1,280.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.07 / $1,057.43 / $1,781.37	Professional		$793.07	$1,057.43	$1,781.37