Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.36 / $8,872.00 / $11,627.00	Facility		$1,747.36	$8,872.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.08 / $1,180.49 / $3,960.05	Professional		$1,175.08	$1,180.49	$3,960.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,398.00 / $27,660.50 / $47,489.23	Facility		$7,398.00	$27,660.50	$47,489.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.71 / $1,153.01 / $1,760.50	Professional		$917.71	$1,153.01	$1,760.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,022.68 / $1,022.68 / $1,489.15	Facility		$1,022.68	$1,022.68	$1,489.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,102.88 / $1,102.88 / $1,194.07	Professional		$1,102.88	$1,102.88	$1,194.07
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 $942.47 / $1,418.82 / $2,237.30	Professional		$942.47	$1,418.82	$2,237.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,025.69 / $1,437.96 / $2,204.11	Professional		$1,025.69	$1,437.96	$2,204.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $952.81 / $1,241.45 / $1,625.73	Professional		$952.81	$1,241.45	$1,625.73
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 $1,089.08 / $1,445.15 / $2,229.78	Professional		$1,089.08	$1,445.15	$2,229.78