Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.52 / $4,723.00 / $11,627.00	Facility		$1,063.52	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.52 / $1,065.20 / $2,110.44	Professional		$1,063.52	$1,065.20	$2,110.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.83 / $1,151.45 / $1,875.71	Professional		$802.83	$1,151.45	$1,875.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.92 / $926.92 / $1,349.72	Facility		$926.92	$926.92	$1,349.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $903.42 / $999.61 / $999.61	Professional		$903.42	$999.61	$999.61
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 $853.25 / $1,272.24 / $2,069.19	Professional		$853.25	$1,272.24	$2,069.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $954.18 / $1,300.31 / $2,012.05	Professional		$954.18	$1,300.31	$2,012.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $949.55 / $1,339.69	Professional		$48.66	$949.55	$1,339.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.85 / $1,294.15 / $2,074.92	Professional		$979.85	$1,294.15	$2,074.92