Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $3,602.00 / $10,635.00	Facility		$1,406.00	$3,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.51 / $1,010.51 / $2,238.00	Professional		$1,010.51	$1,010.51	$2,238.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $2,909.00 / $8,800.00	Facility		$1,191.00	$2,909.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.00 / $1,054.33 / $1,809.81	Professional		$736.00	$1,054.33	$1,809.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $958.49 / $1,150.19 / $1,423.61	Facility		$958.49	$1,150.19	$1,423.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $882.78 / $1,054.33 / $1,054.33	Professional		$882.78	$1,054.33	$1,054.33
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 $812.77 / $1,341.89 / $2,051.17	Professional		$812.77	$1,341.89	$2,051.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $958.49 / $1,448.01 / $1,990.52	Professional		$958.49	$1,448.01	$1,990.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $870.00 / $1,359.89	Professional		$78.29	$870.00	$1,359.89
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 $949.73 / $1,293.96 / $2,251.58	Professional		$949.73	$1,293.96	$2,251.58