Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.16 / $4,723.00 / $11,627.00	Facility		$1,098.16	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.16 / $1,100.54 / $2,141.41	Professional		$1,098.16	$1,100.54	$2,141.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.95 / $1,182.33 / $1,919.92	Professional		$884.95	$1,182.33	$1,919.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.34 / $1,394.00 / $1,759.80	Facility		$957.34	$1,394.00	$1,759.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,032.42 / $1,093.80 / $1,830.20	Professional		$1,032.42	$1,093.80	$1,830.20
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 $879.95 / $1,316.44 / $2,085.67	Professional		$879.95	$1,316.44	$2,085.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $985.49 / $1,435.27 / $2,076.01	Professional		$985.49	$1,435.27	$2,076.01
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 $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.69 / $1,352.02 / $2,105.76	Professional		$1,019.69	$1,352.02	$2,105.76