Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.23 / $4,723.00 / $11,627.00	Facility		$1,345.23	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.23 / $1,345.23 / $2,623.20	Professional		$1,345.23	$1,345.23	$2,623.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,638.88 / $7,944.89 / $15,216.00	Facility		$3,638.88	$7,944.89	$15,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.22 / $1,249.86 / $2,009.50	Professional		$817.22	$1,249.86	$2,009.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,172.06 / $1,706.68 / $2,154.53	Facility		$1,172.06	$1,706.68	$2,154.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,158.98 / $1,263.99 / $2,240.69	Professional		$1,158.98	$1,263.99	$2,240.69
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 $1,033.08 / $1,608.72 / $2,445.91	Professional		$1,033.08	$1,608.72	$2,445.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,206.54 / $1,673.17 / $2,364.33	Professional		$1,206.54	$1,673.17	$2,364.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,124.16 / $1,634.36	Professional		$106.74	$1,124.16	$1,634.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.72 / $1,586.92 / $2,353.71	Professional		$1,214.72	$1,586.92	$2,353.71