Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.91 / $4,723.00 / $11,627.00	Facility		$1,088.91	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.91 / $1,091.89 / $2,153.48	Professional		$1,088.91	$1,091.89	$2,153.48
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 $888.42 / $1,193.77 / $1,933.47	Professional		$888.42	$1,193.77	$1,933.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.23 / $1,383.67 / $1,746.75	Facility		$950.23	$1,383.67	$1,746.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,024.76 / $1,096.45 / $1,816.62	Professional		$1,024.76	$1,096.45	$1,816.62
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 $871.09 / $1,347.43 / $2,093.86	Professional		$871.09	$1,347.43	$2,093.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $978.18 / $1,430.01 / $2,054.44	Professional		$978.18	$1,430.01	$2,054.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $974.10 / $1,374.95	Professional		$49.35	$974.10	$1,374.95
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 $997.47 / $1,305.04 / $2,079.36	Professional		$997.47	$1,305.04	$2,079.36