Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.02 / $4,723.00 / $11,627.00	Facility		$1,222.02	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.02 / $1,259.80 / $3,201.69	Professional		$1,222.02	$1,259.80	$3,201.69
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 $889.56 / $1,310.86 / $2,096.06	Professional		$889.56	$1,310.86	$2,096.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,068.36 / $1,068.36 / $1,555.69	Facility		$1,068.36	$1,068.36	$1,555.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,152.16 / $1,152.16 / $1,250.77	Professional		$1,152.16	$1,152.16	$1,250.77
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 $974.97 / $1,549.80 / $2,330.01	Professional		$974.97	$1,549.80	$2,330.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,099.79 / $1,597.05 / $2,230.98	Professional		$1,099.79	$1,597.05	$2,230.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $954.04 / $1,464.11	Professional		$76.13	$954.04	$1,464.11
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 $1,122.27 / $1,442.99 / $2,460.13	Professional		$1,122.27	$1,442.99	$2,460.13