Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.86 / $4,723.00 / $11,627.00	Facility		$1,132.86	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.67 / $1,132.86 / $2,251.31	Professional		$1,082.67	$1,132.86	$2,251.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $12,455.21 / $21,287.94	Facility		$4,142.00	$12,455.21	$21,287.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $917.19 / $1,251.58 / $2,192.56	Professional		$917.19	$1,251.58	$2,192.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,074.18 / $1,289.02 / $1,711.98	Facility		$1,074.18	$1,289.02	$1,711.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,181.59 / $1,224.58 / $2,094.65	Professional		$1,181.59	$1,224.58	$2,094.65
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 $910.27 / $1,503.85 / $2,316.71	Professional		$910.27	$1,503.85	$2,316.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,046.83 / $1,627.24 / $2,238.36	Professional		$1,046.83	$1,627.24	$2,238.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,117.08 / $1,609.00	Professional		$115.77	$1,117.08	$1,609.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.85 / $1,474.37 / $2,541.07	Professional		$1,093.85	$1,474.37	$2,541.07