Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.61 / $4,723.00 / $11,627.00	Facility		$1,177.61	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.76 / $1,177.61 / $2,341.46	Professional		$1,159.76	$1,177.61	$2,341.46
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 $955.53 / $1,305.85 / $2,292.60	Professional		$955.53	$1,305.85	$2,292.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.69 / $1,341.23 / $2,095.67	Facility		$1,117.69	$1,341.23	$2,095.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,229.46 / $1,229.75 / $2,179.50	Professional		$1,229.46	$1,229.75	$2,179.50
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 $946.98 / $1,564.77 / $2,409.50	Professional		$946.98	$1,564.77	$2,409.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,099.29 / $1,697.56 / $2,328.01	Professional		$1,099.29	$1,697.56	$2,328.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,154.66 / $1,657.03	Professional		$115.77	$1,154.66	$1,657.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.35 / $1,533.53 / $2,623.92	Professional		$1,146.35	$1,533.53	$2,623.92