Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,037.07 / $6,813.00 / $14,500.00	Facility		$2,037.07	$6,813.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.92 / $1,425.95 / $4,086.94	Professional		$1,369.92	$1,425.95	$4,086.94
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 $849.13 / $1,345.86 / $2,341.02	Professional		$849.13	$1,345.86	$2,341.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,199.64 / $1,746.85 / $2,205.23	Facility		$1,199.64	$1,746.85	$2,205.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,027.94 / $1,293.73 / $2,293.44	Professional		$1,027.94	$1,293.73	$2,293.44
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 $1,046.94 / $1,633.43 / $2,458.69	Professional		$1,046.94	$1,633.43	$2,458.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,105.55 / $1,646.57 / $2,354.44	Professional		$1,105.55	$1,646.57	$2,354.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $1,069.03 / $1,649.13	Professional		$75.93	$1,069.03	$1,649.13
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 $1,247.64 / $1,641.63 / $2,553.66	Professional		$1,247.64	$1,641.63	$2,553.66