Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.36 / $4,723.00 / $11,627.00	Facility		$1,068.36	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.36 / $1,068.36 / $3,310.19	Professional		$1,068.36	$1,068.36	$3,310.19
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 $853.84 / $1,115.01 / $1,824.20	Professional		$853.84	$1,115.01	$1,824.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $931.43 / $931.43 / $1,356.29	Facility		$931.43	$931.43	$1,356.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,004.49 / $1,004.49 / $1,065.05	Professional		$1,004.49	$1,004.49	$1,065.05
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 $913.17 / $1,294.71 / $2,087.35	Professional		$913.17	$1,294.71	$2,087.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $968.16 / $1,365.77 / $2,068.27	Professional		$968.16	$1,365.77	$2,068.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $837.36 / $1,097.99 / $1,456.56	Professional		$837.36	$1,097.99	$1,456.56
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 $991.59 / $1,335.71 / $2,067.79	Professional		$991.59	$1,335.71	$2,067.79