Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.32 / $4,723.00 / $11,627.00	Facility		$1,126.32	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.32 / $1,126.94 / $2,240.69	Professional		$1,126.32	$1,126.94	$2,240.69
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 $924.38 / $1,261.51 / $2,170.12	Professional		$924.38	$1,261.51	$2,170.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $981.48 / $1,429.16 / $1,533.56	Facility		$981.48	$1,429.16	$1,533.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,058.45 / $1,145.67 / $1,876.35	Professional		$1,058.45	$1,145.67	$1,876.35
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 $904.50 / $1,347.12 / $2,178.63	Professional		$904.50	$1,347.12	$2,178.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,011.72 / $1,471.39 / $2,133.41	Professional		$1,011.72	$1,471.39	$2,133.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $1,001.77 / $1,398.37	Professional		$49.35	$1,001.77	$1,398.37
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 $1,038.66 / $1,375.39 / $2,160.80	Professional		$1,038.66	$1,375.39	$2,160.80