Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $6,251.00 / $11,581.00	Facility		$1,758.00	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,295.93 / $1,295.93 / $3,088.05	Professional		$1,295.93	$1,295.93	$3,088.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.11 / $1,327.60 / $2,347.23	Professional		$904.11	$1,327.60	$2,347.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,229.26 / $1,475.11 / $1,825.77	Facility		$1,229.26	$1,475.11	$1,825.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $994.93 / $1,352.19 / $1,352.19	Professional		$994.93	$1,352.19	$1,352.19
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 $965.09 / $1,619.17 / $2,630.34	Professional		$965.09	$1,619.17	$2,630.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,033.50 / $1,659.51 / $2,625.49	Professional		$1,033.50	$1,659.51	$2,625.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $1,088.71 / $1,767.03	Professional		$152.27	$1,088.71	$1,767.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.01 / $1,550.94 / $2,768.43	Professional		$1,057.01	$1,550.94	$2,768.43