Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.44 / $4,723.00 / $11,627.00	Facility		$1,088.44	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.44 / $1,111.91 / $2,122.46	Professional		$1,088.44	$1,111.91	$2,122.46
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 $802.26 / $1,066.52 / $1,740.51	Professional		$802.26	$1,066.52	$1,740.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.95 / $1,384.71 / $1,748.07	Facility		$950.95	$1,384.71	$1,748.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $973.64 / $1,025.53 / $1,817.99	Professional		$973.64	$1,025.53	$1,817.99
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 $876.36 / $1,301.24 / $1,973.37	Professional		$876.36	$1,301.24	$1,973.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $976.32 / $1,375.95 / $1,890.79	Professional		$976.32	$1,375.95	$1,890.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $839.09 / $1,323.43	Professional		$76.13	$839.09	$1,323.43
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 $982.61 / $1,254.16 / $2,019.76	Professional		$982.61	$1,254.16	$2,019.76