Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.10 / $8,037.00 / $11,754.00	Facility		$1,798.10	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,189.21 / $1,209.21 / $3,290.93	Professional		$1,189.21	$1,209.21	$3,290.93
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 $934.38 / $1,275.16 / $2,297.62	Professional		$934.38	$1,275.16	$2,297.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,146.83 / $1,376.20 / $1,703.34	Facility		$1,146.83	$1,376.20	$1,703.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,149.58 / $1,261.51 / $1,261.51	Professional		$1,149.58	$1,261.51	$1,261.51
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 $861.56 / $1,605.57 / $2,473.40	Professional		$861.56	$1,605.57	$2,473.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,077.73 / $1,744.41 / $2,389.75	Professional		$1,077.73	$1,744.41	$2,389.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,188.78 / $1,692.95	Professional		$115.97	$1,188.78	$1,692.95
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 $1,164.00 / $1,521.83 / $2,582.40	Professional		$1,164.00	$1,521.83	$2,582.40