Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.60 / $5,135.00 / $11,627.00	Facility		$1,197.60	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.89 / $1,213.26 / $3,137.74	Professional		$1,086.89	$1,213.26	$3,137.74
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 $881.71 / $1,296.63 / $2,168.06	Professional		$881.71	$1,296.63	$2,168.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,045.31 / $1,045.31 / $1,522.10	Facility		$1,045.31	$1,045.31	$1,522.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,127.29 / $1,127.29 / $1,440.14	Professional		$1,127.29	$1,127.29	$1,440.14
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 $995.84 / $1,559.40 / $2,265.92	Professional		$995.84	$1,559.40	$2,265.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,067.02 / $1,588.45 / $2,153.19	Professional		$1,067.02	$1,588.45	$2,153.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $935.77 / $1,453.63	Professional		$76.13	$935.77	$1,453.63
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 $1,055.91 / $1,383.49 / $2,162.83	Professional		$1,055.91	$1,383.49	$2,162.83