Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.13 / $5,221.00 / $11,627.00	Facility		$1,590.13	$5,221.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,180.61 / $1,180.61 / $3,062.01	Professional		$1,180.61	$1,180.61	$3,062.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.30 / $1,059.51 / $1,864.02	Professional		$691.30	$1,059.51	$1,864.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,127.66 / $1,353.19 / $1,674.86	Facility		$1,127.66	$1,353.19	$1,674.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $882.97 / $1,240.43 / $1,240.43	Professional		$882.97	$1,240.43	$1,240.43
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 $948.95 / $1,454.68 / $2,361.69	Professional		$948.95	$1,454.68	$2,361.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $998.17 / $1,522.34 / $2,330.38	Professional		$998.17	$1,522.34	$2,330.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $960.10 / $1,575.10	Professional		$150.26	$960.10	$1,575.10
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 $948.49 / $1,388.05 / $2,515.39	Professional		$948.49	$1,388.05	$2,515.39