Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.82 / $4,723.00 / $11,627.00	Facility		$1,152.82	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.82 / $1,153.92 / $2,248.00	Professional		$1,152.82	$1,153.92	$2,248.00
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 $790.70 / $1,191.63 / $1,944.31	Professional		$790.70	$1,191.63	$1,944.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,004.52 / $1,462.71 / $1,846.55	Facility		$1,004.52	$1,462.71	$1,846.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,083.30 / $1,207.98 / $1,920.41	Professional		$1,083.30	$1,207.98	$1,920.41
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 $923.52 / $1,378.75 / $2,029.82	Professional		$923.52	$1,378.75	$2,029.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,034.06 / $1,381.37 / $1,992.75	Professional		$1,034.06	$1,381.37	$1,992.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $1,021.42 / $1,411.36	Professional		$49.35	$1,021.42	$1,411.36
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 $1,038.83 / $1,313.87 / $2,157.79	Professional		$1,038.83	$1,313.87	$2,157.79