Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.77 / $4,723.00 / $11,627.00	Facility		$1,123.77	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.09 / $1,123.77 / $2,180.56	Professional		$1,080.09	$1,123.77	$2,180.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.23 / $1,170.26 / $1,964.36	Professional		$825.23	$1,170.26	$1,964.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,075.44 / $1,290.53 / $1,597.31	Facility		$1,075.44	$1,290.53	$1,597.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $921.22 / $1,182.98 / $1,182.98	Professional		$921.22	$1,182.98	$1,182.98
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 $972.00 / $1,505.62 / $2,301.44	Professional		$972.00	$1,505.62	$2,301.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,010.91 / $1,562.86 / $2,301.44	Professional		$1,010.91	$1,562.86	$2,301.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $914.38 / $1,506.69	Professional		$119.23	$914.38	$1,506.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.93 / $1,451.84 / $2,441.19	Professional		$1,005.93	$1,451.84	$2,441.19