Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.60 / $4,723.00 / $11,627.00	Facility		$1,243.60	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.60 / $1,243.60 / $3,671.59	Professional		$1,243.60	$1,243.60	$3,671.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.99 / $1,839.76 / $3,845.65	Facility		$870.99	$1,839.76	$3,845.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.33 / $1,187.11 / $2,008.60	Professional		$879.33	$1,187.11	$2,008.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,100.78 / $1,100.78 / $1,602.90	Facility		$1,100.78	$1,100.78	$1,602.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $904.85 / $1,187.11 / $1,187.11	Professional		$904.85	$1,187.11	$1,187.11
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 $1,094.47 / $1,471.90 / $2,194.91	Professional		$1,094.47	$1,471.90	$2,194.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,124.89 / $1,539.89 / $2,080.89	Professional		$1,124.89	$1,539.89	$2,080.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $999.76 / $1,548.11	Professional		$75.93	$999.76	$1,548.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.03 / $1,431.42 / $2,348.63	Professional		$1,096.03	$1,431.42	$2,348.63