Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.96 / $4,723.00 / $11,627.00	Facility		$1,212.96	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.96 / $1,212.96 / $2,414.31	Professional		$1,212.96	$1,212.96	$2,414.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,408.00 / $14,299.15 / $25,723.30	Facility		$4,408.00	$14,299.15	$25,723.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.80 / $1,251.93 / $1,953.24	Professional		$916.80	$1,251.93	$1,953.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,159.82 / $1,391.78 / $1,722.63	Facility		$1,159.82	$1,391.78	$1,722.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,212.90 / $1,275.80 / $1,275.80	Professional		$1,212.90	$1,275.80	$1,275.80
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 $1,050.35 / $1,623.75 / $2,482.02	Professional		$1,050.35	$1,623.75	$2,482.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,090.23 / $1,710.82 / $2,482.02	Professional		$1,090.23	$1,710.82	$2,482.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $1,039.96 / $1,652.59	Professional		$116.40	$1,039.96	$1,652.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.77 / $1,574.70 / $2,759.05	Professional		$1,091.77	$1,574.70	$2,759.05