Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.63 / $6,251.00 / $11,581.00	Facility		$1,647.63	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.29 / $1,221.29 / $2,427.63	Professional		$1,221.29	$1,221.29	$2,427.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.63 / $1,336.32 / $2,298.69	Professional		$1,019.63	$1,336.32	$2,298.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,162.02 / $1,394.42 / $1,725.90	Facility		$1,162.02	$1,394.42	$1,725.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,090.88 / $1,278.22 / $1,278.22	Professional		$1,090.88	$1,278.22	$1,278.22
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 $995.55 / $1,626.83 / $2,486.71	Professional		$995.55	$1,626.83	$2,486.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,131.78 / $1,651.81 / $2,462.92	Professional		$1,131.78	$1,651.81	$2,462.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $1,020.62 / $1,643.74	Professional		$150.26	$1,020.62	$1,643.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.53 / $1,451.35 / $2,682.60	Professional		$1,033.53	$1,451.35	$2,682.60