Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.83 / $6,492.00 / $11,627.00	Facility		$1,064.83	$6,492.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.12 / $2,220.66 / $11,414.16	Professional		$663.12	$2,220.66	$11,414.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,238.00 / $36,529.00	Facility		$2,097.00	$8,238.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.57 / $4,730.97 / $9,488.12	Professional		$636.57	$4,730.97	$9,488.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.10 / $626.10 / $911.68	Facility		$626.10	$626.10	$911.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,055.35 / $6,055.35 / $7,253.11	Professional		$6,055.35	$6,055.35	$7,253.11
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 $651.27 / $1,403.72 / $10,139.86	Professional		$651.27	$1,403.72	$10,139.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $736.58 / $1,540.53 / $10,139.86	Professional		$736.58	$1,540.53	$10,139.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,138.54 / $6,806.83 / $9,399.64	Professional		$5,138.54	$6,806.83	$9,399.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,496.00 / $9,369.00 / $14,533.00	Facility		$5,496.00	$9,369.00	$14,533.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,344.15 / $8,694.85 / $13,466.35	Professional		$6,344.15	$8,694.85	$13,466.35