Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.08 / $4,723.00 / $11,627.00	Facility		$1,461.08	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.08 / $1,461.08 / $4,373.00	Professional		$1,461.08	$1,461.08	$4,373.00
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 $832.09 / $1,312.98 / $2,088.53	Professional		$832.09	$1,312.98	$2,088.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,276.06 / $1,858.12 / $2,345.69	Facility		$1,276.06	$1,858.12	$2,345.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,034.59 / $1,376.14 / $2,439.53	Professional		$1,034.59	$1,376.14	$2,439.53
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 $894.44 / $1,736.21 / $2,642.83	Professional		$894.44	$1,736.21	$2,642.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,174.47 / $1,751.45 / $2,441.90	Professional		$1,174.47	$1,751.45	$2,441.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,161.89 / $1,785.12	Professional		$112.99	$1,161.89	$1,785.12
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 $1,301.82 / $1,691.74 / $2,701.34	Professional		$1,301.82	$1,691.74	$2,701.34