Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.01 / $4,723.00 / $11,627.00	Facility		$1,043.01	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.01 / $1,045.02 / $2,077.40	Professional		$1,043.01	$1,045.02	$2,077.40
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 $865.55 / $1,205.82 / $2,128.31	Professional		$865.55	$1,205.82	$2,128.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $908.74 / $1,323.25 / $1,670.48	Facility		$908.74	$1,323.25	$1,670.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $980.01 / $1,361.25 / $1,737.30	Professional		$980.01	$1,361.25	$1,737.30
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 $849.19 / $1,380.93 / $2,039.94	Professional		$849.19	$1,380.93	$2,039.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $935.47 / $1,400.78 / $1,972.83	Professional		$935.47	$1,400.78	$1,972.83
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 $941.13 / $1,238.33 / $1,997.14	Professional		$941.13	$1,238.33	$1,997.14