Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.43 / $5,135.00 / $11,627.00	Facility		$1,302.43	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,333.23 / $3,412.37	Professional		$1,302.43	$1,333.23	$3,412.37
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 $981.71 / $1,501.43 / $2,521.41	Professional		$981.71	$1,501.43	$2,521.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,136.39 / $1,136.39 / $1,654.74	Facility		$1,136.39	$1,136.39	$1,654.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,225.52 / $1,225.52 / $1,599.34	Professional		$1,225.52	$1,225.52	$1,599.34
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 $1,061.06 / $1,698.37 / $2,464.61	Professional		$1,061.06	$1,698.37	$2,464.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,163.30 / $1,726.87 / $2,507.56	Professional		$1,163.30	$1,726.87	$2,507.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $1,011.21 / $1,557.07	Professional		$76.13	$1,011.21	$1,557.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,524.00 / $11,766.00 / $20,348.00	Facility		$4,524.00	$11,766.00	$20,348.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.50 / $1,527.54 / $2,406.58	Professional		$1,170.50	$1,527.54	$2,406.58