Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.24 / $4,723.00 / $11,627.00	Facility		$1,177.24	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.24 / $1,191.08 / $2,159.06	Professional		$1,177.24	$1,191.08	$2,159.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.83 / $1,251.08 / $2,037.36	Professional		$867.83	$1,251.08	$2,037.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,026.95 / $1,026.95 / $1,495.37	Facility		$1,026.95	$1,026.95	$1,495.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,107.49 / $1,107.49 / $1,223.77	Professional		$1,107.49	$1,107.49	$1,223.77
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 $931.18 / $1,497.42 / $2,095.87	Professional		$931.18	$1,497.42	$2,095.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,039.21 / $1,530.04 / $2,114.96	Professional		$1,039.21	$1,530.04	$2,114.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $924.15 / $1,443.38	Professional		$76.13	$924.15	$1,443.38
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 $1,043.98 / $1,357.54 / $2,237.55	Professional		$1,043.98	$1,357.54	$2,237.55