Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.35 / $3,999.00 / $10,268.00	Facility		$1,165.35	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.59 / $1,165.35 / $2,349.88	Professional		$857.59	$1,165.35	$2,349.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.81 / $1,028.08 / $1,838.87	Professional		$740.81	$1,028.08	$1,838.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $823.96 / $988.75 / $1,223.79	Facility		$823.96	$988.75	$1,223.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $877.59 / $1,223.70 / $1,223.70	Professional		$877.59	$1,223.70	$1,223.70
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 $893.32 / $1,334.94 / $2,111.60	Professional		$893.32	$1,334.94	$2,111.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $906.65 / $1,357.19 / $2,127.88	Professional		$906.65	$1,357.19	$2,127.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $1,147.27 / $1,682.01	Professional		$112.03	$1,147.27	$1,682.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $919.21 / $1,431.45 / $2,570.26	Professional		$919.21	$1,431.45	$2,570.26