Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.76 / $8,553.00 / $11,627.00	Facility		$1,073.76	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.76 / $1,073.76 / $1,726.33	Professional		$1,073.76	$1,073.76	$1,726.33
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 $830.94 / $1,053.33 / $1,594.04	Professional		$830.94	$1,053.33	$1,594.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $934.27 / $934.27 / $1,360.42	Facility		$934.27	$934.27	$1,360.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,007.55 / $1,007.55 / $1,076.29	Professional		$1,007.55	$1,007.55	$1,076.29
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 $861.00 / $1,296.58 / $2,042.20	Professional		$861.00	$1,296.58	$2,042.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $928.70 / $1,296.58 / $2,012.05	Professional		$928.70	$1,296.58	$2,012.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $834.67 / $1,088.21 / $1,409.42	Professional		$834.67	$1,088.21	$1,409.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $982.69 / $1,322.49 / $2,096.08	Professional		$982.69	$1,322.49	$2,096.08