Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.36 / $4,723.00 / $11,627.00	Facility		$1,037.36	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.36 / $1,037.36 / $2,022.87	Professional		$1,037.36	$1,037.36	$2,022.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,869.00 / $14,996.00	Facility		$1,760.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.47 / $1,187.42 / $1,977.22	Professional		$839.47	$1,187.42	$1,977.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $904.14 / $1,316.55 / $1,662.02	Facility		$904.14	$1,316.55	$1,662.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $975.05 / $1,116.30 / $1,728.50	Professional		$975.05	$1,116.30	$1,728.50
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 $840.02 / $1,360.19 / $1,978.49	Professional		$840.02	$1,360.19	$1,978.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $930.73 / $1,373.94 / $1,978.49	Professional		$930.73	$1,373.94	$1,978.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $917.18 / $1,279.10	Professional		$49.35	$917.18	$1,279.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,821.00	Facility		$2,840.00	$5,998.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $934.27 / $1,229.30 / $1,966.88	Professional		$934.27	$1,229.30	$1,966.88