Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.83 / $5,201.00 / $11,627.00	Facility		$1,208.83	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.95 / $1,098.95 / $2,901.23	Professional		$1,098.95	$1,098.95	$2,901.23
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 $858.84 / $1,161.97 / $2,044.39	Professional		$858.84	$1,161.97	$2,044.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,042.78 / $1,251.33 / $1,955.22	Facility		$1,042.78	$1,251.33	$1,955.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,147.06 / $1,147.06 / $2,033.42	Professional		$1,147.06	$1,147.06	$2,033.42
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 $887.54 / $1,455.42 / $2,207.17	Professional		$887.54	$1,455.42	$2,207.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $993.58 / $1,485.56 / $2,175.55	Professional		$993.58	$1,485.56	$2,175.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $929.34 / $1,489.63	Professional		$113.04	$929.34	$1,489.63
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 $933.57 / $1,326.03 / $2,354.64	Professional		$933.57	$1,326.03	$2,354.64