Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.70 / $5,201.00 / $11,627.00	Facility		$1,592.70	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.25 / $1,447.91 / $4,302.14	Professional		$1,438.25	$1,447.91	$4,302.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.15 / $1,047.13 / $1,812.63	Professional		$737.15	$1,047.13	$1,812.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,263.50 / $1,263.50 / $1,839.84	Facility		$1,263.50	$1,263.50	$1,839.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $871.25 / $1,362.60 / $1,362.60	Professional		$871.25	$1,362.60	$1,362.60
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 $1,037.11 / $1,548.41 / $2,371.96	Professional		$1,037.11	$1,548.41	$2,371.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,161.83 / $1,616.09 / $2,301.71	Professional		$1,161.83	$1,616.09	$2,301.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $1,133.11 / $1,748.85	Professional		$112.80	$1,133.11	$1,748.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $9,125.00 / $14,134.00	Facility		$4,227.00	$9,125.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.79 / $1,570.18 / $2,420.69	Professional		$1,051.79	$1,570.18	$2,420.69