Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.50 / $4,723.00 / $11,627.00	Facility		$1,200.50	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.36 / $1,200.50 / $2,387.88	Professional		$1,183.36	$1,200.50	$2,387.88
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 $981.31 / $1,350.23 / $2,184.86	Professional		$981.31	$1,350.23	$2,184.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,138.91 / $1,366.69 / $1,815.14	Facility		$1,138.91	$1,366.69	$1,815.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,252.80 / $1,345.05 / $2,220.87	Professional		$1,252.80	$1,345.05	$2,220.87
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 $965.00 / $1,594.47 / $2,457.25	Professional		$965.00	$1,594.47	$2,457.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,062.74 / $1,716.28 / $2,374.14	Professional		$1,062.74	$1,716.28	$2,374.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,183.27 / $1,669.78	Professional		$115.97	$1,183.27	$1,669.78
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 $1,157.16 / $1,573.47 / $2,887.73	Professional		$1,157.16	$1,573.47	$2,887.73