Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $8,037.00 / $12,096.23	Facility		$1,575.00	$8,037.00	$12,096.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.39 / $1,171.22 / $3,191.18	Professional		$1,067.39	$1,171.22	$3,191.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $972.79 / $1,327.57 / $2,282.59	Professional		$972.79	$1,327.57	$2,282.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,146.18 / $1,669.00 / $1,669.00	Facility		$1,146.18	$1,669.00	$1,669.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,236.08 / $1,236.08 / $1,328.18	Professional		$1,236.08	$1,236.08	$1,328.18
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 $1,050.67 / $1,460.83 / $2,333.82	Professional		$1,050.67	$1,460.83	$2,333.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,101.24 / $1,520.01 / $2,333.82	Professional		$1,101.24	$1,520.01	$2,333.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $983.89 / $1,588.08	Professional		$107.71	$983.89	$1,588.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,879.00 / $5,661.00 / $9,483.00	Facility		$3,879.00	$5,661.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.01 / $1,249.42 / $2,456.67	Professional		$986.01	$1,249.42	$2,456.67