Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $8,553.00 / $11,627.00	Facility		$2,292.00	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $4,964.46 / $4,964.46	Professional		$825.00	$4,964.46	$4,964.46
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 $1,292.21 / $1,733.08 / $3,075.96	Professional		$1,292.21	$1,733.08	$3,075.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
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 $328.44 / $406.00 / $605.50	Professional		$328.44	$406.00	$605.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $406.00 / $605.50	Professional		$280.00	$406.00	$605.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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