Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.98 / $5,446.00 / $11,627.00	Facility		$1,340.98	$5,446.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.07 / $1,219.07 / $3,218.34	Professional		$1,219.07	$1,219.07	$3,218.34
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 $956.98 / $1,358.55 / $2,265.53	Professional		$956.98	$1,358.55	$2,265.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,154.52 / $1,385.42 / $2,164.73	Facility		$1,154.52	$1,385.42	$2,164.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,269.97 / $1,269.97 / $2,251.32	Professional		$1,269.97	$1,269.97	$2,251.32
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 $983.22 / $1,616.33 / $2,550.83	Professional		$983.22	$1,616.33	$2,550.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,067.21 / $1,652.19 / $2,594.23	Professional		$1,067.21	$1,652.19	$2,594.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $1,000.57 / $1,628.37	Professional		$150.26	$1,000.57	$1,628.37
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 $1,052.80 / $1,560.40 / $2,626.00	Professional		$1,052.80	$1,560.40	$2,626.00