Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.77 / $4,723.00 / $11,627.00	Facility		$1,214.77	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.44 / $1,214.77 / $2,329.12	Professional		$1,167.44	$1,214.77	$2,329.12
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 $834.56 / $1,197.83 / $2,052.12	Professional		$834.56	$1,197.83	$2,052.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,059.01 / $1,542.07 / $1,946.72	Facility		$1,059.01	$1,542.07	$1,946.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,142.08 / $1,221.93 / $2,024.60	Professional		$1,142.08	$1,221.93	$2,024.60
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 $975.95 / $1,453.55 / $2,247.46	Professional		$975.95	$1,453.55	$2,247.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,090.16 / $1,586.44 / $2,247.46	Professional		$1,090.16	$1,586.44	$2,247.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $1,102.12 / $1,518.17	Professional		$91.91	$1,102.12	$1,518.17
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 $1,094.53 / $1,444.49 / $2,283.28	Professional		$1,094.53	$1,444.49	$2,283.28