Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.47 / $4,723.00 / $11,627.00	Facility		$1,008.47	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.47 / $1,010.01 / $1,966.52	Professional		$1,008.47	$1,010.01	$1,966.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,638.88 / $7,944.89 / $15,216.00	Facility		$3,638.88	$7,944.89	$15,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.10 / $943.16 / $1,508.11	Professional		$689.10	$943.16	$1,508.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $879.05 / $1,280.01 / $1,615.89	Facility		$879.05	$1,280.01	$1,615.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $901.88 / $947.99 / $1,680.53	Professional		$901.88	$947.99	$1,680.53
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 $809.76 / $1,206.54 / $1,861.48	Professional		$809.76	$1,206.54	$1,861.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $904.90 / $1,317.19 / $1,861.48	Professional		$904.90	$1,317.19	$1,861.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $894.12 / $1,251.77	Professional		$48.66	$894.12	$1,251.77
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 $910.61 / $1,194.24 / $1,932.95	Professional		$910.61	$1,194.24	$1,932.95