Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.97 / $5,207.00 / $11,627.00	Facility		$1,255.97	$5,207.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.79 / $1,141.79 / $3,014.33	Professional		$1,141.79	$1,141.79	$3,014.33
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 $926.68 / $1,221.04 / $2,205.86	Professional		$926.68	$1,221.04	$2,205.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.94 / $1,297.13 / $2,026.77	Facility		$1,080.94	$1,297.13	$2,026.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,189.03 / $1,189.03 / $2,107.83	Professional		$1,189.03	$1,189.03	$2,107.83
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 $920.94 / $1,513.31 / $2,437.02	Professional		$920.94	$1,513.31	$2,437.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $981.64 / $1,642.73 / $2,631.98	Professional		$981.64	$1,642.73	$2,631.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $932.81 / $1,524.11	Professional		$115.62	$932.81	$1,524.11
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 $1,005.75 / $1,460.40 / $2,426.06	Professional		$1,005.75	$1,460.40	$2,426.06