Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.11 / $4,723.00 / $11,627.00	Facility		$1,023.11	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.11 / $1,052.48 / $2,680.55	Professional		$1,023.11	$1,052.48	$2,680.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.69 / $1,175.01 / $1,994.76	Professional		$962.69	$1,175.01	$1,994.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $892.68 / $1,299.86	Facility		$892.68	$892.68	$1,299.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $962.70 / $962.70 / $996.50	Professional		$962.70	$962.70	$996.50
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 $822.67 / $1,258.25 / $1,998.91	Professional		$822.67	$1,258.25	$1,998.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $908.34 / $1,318.97 / $1,931.36	Professional		$908.34	$1,318.97	$1,931.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $896.25 / $1,260.37	Professional		$71.16	$896.25	$1,260.37
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 $942.03 / $1,277.06 / $2,085.36	Professional		$942.03	$1,277.06	$2,085.36