Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.28 / $4,723.00 / $11,627.00	Facility		$1,280.28	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.28 / $1,306.90 / $2,496.55	Professional		$1,280.28	$1,306.90	$2,496.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.48 / $1,367.26 / $2,273.65	Professional		$968.48	$1,367.26	$2,273.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.92 / $1,119.92 / $1,630.75	Facility		$1,119.92	$1,119.92	$1,630.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,207.76 / $1,207.76 / $1,239.77	Professional		$1,207.76	$1,207.76	$1,239.77
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 $1,027.86 / $1,628.62 / $2,323.44	Professional		$1,027.86	$1,628.62	$2,323.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,152.25 / $1,675.06 / $2,418.42	Professional		$1,152.25	$1,675.06	$2,418.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $1,004.13 / $1,545.39	Professional		$75.93	$1,004.13	$1,545.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,182.89 / $1,512.29 / $2,435.33	Professional		$1,182.89	$1,512.29	$2,435.33