Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.34 / $4,723.00 / $11,627.00	Facility		$1,090.34	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.34 / $1,093.24 / $2,126.17	Professional		$1,090.34	$1,093.24	$2,126.17
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 $901.41 / $1,210.90 / $1,955.64	Professional		$901.41	$1,210.90	$1,955.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $951.56 / $1,385.60 / $1,749.20	Facility		$951.56	$1,385.60	$1,749.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $883.40 / $1,026.19 / $1,819.16	Professional		$883.40	$1,026.19	$1,819.16
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 $889.31 / $1,306.07 / $2,124.48	Professional		$889.31	$1,306.07	$2,124.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $979.55 / $1,425.26 / $2,059.61	Professional		$979.55	$1,425.26	$2,059.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $949.55 / $1,339.69	Professional		$49.35	$949.55	$1,339.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,796.00 / $13,009.00	Facility		$4,070.00	$8,796.00	$13,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.74 / $1,295.16 / $2,072.26	Professional		$984.74	$1,295.16	$2,072.26