Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.20 / $4,723.00 / $11,627.00	Facility		$1,086.20	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.20 / $1,104.86 / $2,845.84	Professional		$1,086.20	$1,104.86	$2,845.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.44 / $1,161.60 / $1,949.58	Professional		$830.44	$1,161.60	$1,949.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.88 / $947.88 / $1,380.24	Facility		$947.88	$947.88	$1,380.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,022.22 / $1,022.22 / $1,183.22	Professional		$1,022.22	$1,022.22	$1,183.22
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 $924.18 / $1,413.49 / $2,061.05	Professional		$924.18	$1,413.49	$2,061.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $974.25 / $1,423.73 / $1,986.51	Professional		$974.25	$1,423.73	$1,986.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $867.96 / $1,315.91	Professional		$75.93	$867.96	$1,315.91
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 $978.84 / $1,275.97 / $2,059.11	Professional		$978.84	$1,275.97	$2,059.11