Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.97 / $4,774.00 / $11,627.00	Facility		$1,429.97	$4,774.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,429.97 / $1,464.59 / $3,746.52	Professional		$1,429.97	$1,464.59	$3,746.52
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 $991.41 / $1,514.46 / $2,580.63	Professional		$991.41	$1,514.46	$2,580.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,247.16 / $1,247.16 / $1,816.03	Facility		$1,247.16	$1,247.16	$1,816.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,273.14 / $1,344.98 / $1,344.98	Professional		$1,273.14	$1,344.98	$1,344.98
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 $1,130.14 / $1,863.64 / $2,707.51	Professional		$1,130.14	$1,863.64	$2,707.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,276.39 / $1,895.20 / $2,574.57	Professional		$1,276.39	$1,895.20	$2,574.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $1,256.23 / $1,767.19	Professional		$107.95	$1,256.23	$1,767.19
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 $1,284.32 / $1,668.38 / $2,878.76	Professional		$1,284.32	$1,668.38	$2,878.76