Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.99 / $5,201.00 / $11,627.00	Facility		$1,136.99	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.75 / $1,009.81 / $2,729.85	Professional		$1,006.75	$1,009.81	$2,729.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,711.00 / $29,406.00	Facility		$1,895.00	$5,711.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.49 / $1,077.22 / $1,843.24	Professional		$765.49	$1,077.22	$1,843.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.33 / $1,172.80 / $1,451.59	Facility		$977.33	$1,172.80	$1,451.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $892.20 / $1,075.06 / $1,075.06	Professional		$892.20	$1,075.06	$1,075.06
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 $885.70 / $1,352.21 / $2,053.19	Professional		$885.70	$1,352.21	$2,053.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $977.33 / $1,372.02 / $2,040.99	Professional		$977.33	$1,372.02	$2,040.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $813.66 / $1,354.25	Professional		$118.36	$813.66	$1,354.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,832.46 / $6,238.00	Facility		$2,647.00	$4,832.46	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.48 / $1,279.74 / $2,132.90	Professional		$906.48	$1,279.74	$2,132.90