Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $4,723.00 / $11,627.00	Facility		$1,126.23	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.23 / $1,127.67 / $2,211.17	Professional		$1,126.23	$1,127.67	$2,211.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.80 / $1,228.11 / $1,963.76	Professional		$931.80	$1,228.11	$1,963.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $1,430.00 / $1,805.24	Facility		$982.04	$1,430.00	$1,805.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $958.83 / $1,059.07 / $1,877.45	Professional		$958.83	$1,059.07	$1,877.45
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 $940.42 / $1,347.90 / $2,196.11	Professional		$940.42	$1,347.90	$2,196.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,010.93 / $1,470.23 / $2,196.11	Professional		$1,010.93	$1,470.23	$2,196.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $1,000.67 / $1,398.37	Professional		$49.35	$1,000.67	$1,398.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.20 / $1,388.23 / $2,123.64	Professional		$1,024.20	$1,388.23	$2,123.64