Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.83 / $5,201.00 / $11,627.00	Facility		$1,300.83	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.58 / $1,182.58 / $3,122.01	Professional		$1,182.58	$1,182.58	$3,122.01
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 $904.99 / $1,276.27 / $2,129.15	Professional		$904.99	$1,276.27	$2,129.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.14 / $1,342.97 / $1,783.64	Facility		$1,119.14	$1,342.97	$1,783.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,231.05 / $1,231.05 / $2,182.32	Professional		$1,231.05	$1,231.05	$2,182.32
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 $953.30 / $1,566.79 / $2,382.48	Professional		$953.30	$1,566.79	$2,382.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,016.95 / $1,587.54 / $2,345.67	Professional		$1,016.95	$1,587.54	$2,345.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $971.92 / $1,574.99	Professional		$115.80	$971.92	$1,574.99
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 $951.31 / $1,359.25 / $2,445.84	Professional		$951.31	$1,359.25	$2,445.84