Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.84 / $5,135.00 / $11,627.00	Facility		$1,026.84	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.12 / $1,026.84 / $2,038.19	Professional		$1,010.12	$1,026.84	$2,038.19
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 $854.91 / $1,198.68 / $1,977.81	Professional		$854.91	$1,198.68	$1,977.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $974.87 / $1,169.83 / $1,827.89	Facility		$974.87	$1,169.83	$1,827.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,072.35 / $1,159.74 / $1,901.00	Professional		$1,072.35	$1,159.74	$1,901.00
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 $826.23 / $1,364.81 / $2,097.40	Professional		$826.23	$1,364.81	$2,097.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $946.13 / $1,475.75 / $2,026.47	Professional		$946.13	$1,475.75	$2,026.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,025.14 / $1,458.83	Professional		$115.77	$1,025.14	$1,458.83
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 $987.92 / $1,334.94 / $2,297.07	Professional		$987.92	$1,334.94	$2,297.07