Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.49 / $4,723.00 / $11,627.00	Facility		$1,089.49	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.49 / $1,090.93 / $2,696.39	Professional		$1,089.49	$1,090.93	$2,696.39
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 $901.43 / $1,194.05 / $1,969.34	Professional		$901.43	$1,194.05	$1,969.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $949.79 / $1,383.03 / $1,745.94	Facility		$949.79	$1,383.03	$1,745.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,024.29 / $1,110.27 / $1,815.78	Professional		$1,024.29	$1,110.27	$1,815.78
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 $895.21 / $1,406.01 / $2,124.53	Professional		$895.21	$1,406.01	$2,124.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $977.73 / $1,429.34 / $2,060.23	Professional		$977.73	$1,429.34	$2,060.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $949.55 / $1,339.69	Professional		$48.66	$949.55	$1,339.69
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 $1,013.03 / $1,355.12 / $2,193.31	Professional		$1,013.03	$1,355.12	$2,193.31