Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $3,475.19 / $10,635.00	Facility		$1,406.00	$3,475.19	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.71 / $1,021.71 / $2,565.00	Professional		$1,021.71	$1,021.71	$2,565.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,287.00 / $14,996.00	Facility		$1,712.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $1,153.54 / $2,070.66	Professional		$863.37	$1,153.54	$2,070.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $993.49 / $1,192.19 / $1,475.60	Facility		$993.49	$1,192.19	$1,475.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $859.98 / $1,092.83 / $1,092.83	Professional		$859.98	$1,092.83	$1,092.83
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 $769.50 / $1,390.89 / $2,148.65	Professional		$769.50	$1,390.89	$2,148.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $993.49 / $1,459.30 / $2,169.80	Professional		$993.49	$1,459.30	$2,169.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,033.06 / $1,472.84	Professional		$115.97	$1,033.06	$1,472.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.13 / $1,399.31 / $2,605.36	Professional		$1,022.13	$1,399.31	$2,605.36