Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.51 / $4,723.00 / $11,627.00	Facility		$1,044.51	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.51 / $1,045.85 / $2,058.32	Professional		$1,044.51	$1,045.85	$2,058.32
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 $867.95 / $1,174.28 / $1,885.68	Professional		$867.95	$1,174.28	$1,885.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $910.04 / $1,325.15 / $1,672.88	Facility		$910.04	$1,325.15	$1,672.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $981.42 / $1,087.96 / $1,739.79	Professional		$981.42	$1,087.96	$1,739.79
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 $838.67 / $1,349.96 / $2,045.60	Professional		$838.67	$1,349.96	$2,045.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $936.81 / $1,369.52 / $1,976.62	Professional		$936.81	$1,369.52	$1,976.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $914.29 / $1,290.10	Professional		$49.35	$914.29	$1,290.10
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 $961.99 / $1,259.51 / $2,085.48	Professional		$961.99	$1,259.51	$2,085.48