Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.31 / $4,723.00 / $11,627.00	Facility		$1,207.31	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.19 / $1,207.31 / $2,377.23	Professional		$1,173.19	$1,207.31	$2,377.23
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 $1,004.52 / $1,400.49 / $2,285.06	Professional		$1,004.52	$1,400.49	$2,285.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,118.96 / $1,342.75 / $1,783.35	Facility		$1,118.96	$1,342.75	$1,783.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,230.85 / $1,339.54 / $2,181.98	Professional		$1,230.85	$1,339.54	$2,181.98
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 $948.06 / $1,601.40 / $2,446.30	Professional		$948.06	$1,601.40	$2,446.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,094.64 / $1,706.13 / $2,363.56	Professional		$1,094.64	$1,706.13	$2,363.56
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 $1,480.00 / $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 $1,146.13 / $1,533.21 / $2,677.94	Professional		$1,146.13	$1,533.21	$2,677.94