Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.09 / $4,723.00 / $11,627.00	Facility		$1,296.09	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,145.52 / $1,296.09 / $2,478.84	Professional		$1,145.52	$1,296.09	$2,478.84
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 $955.70 / $1,341.69 / $2,256.32	Professional		$955.70	$1,341.69	$2,256.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,228.69 / $1,474.43 / $1,824.93	Facility		$1,228.69	$1,474.43	$1,824.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,266.52 / $1,351.56 / $1,351.56	Professional		$1,266.52	$1,351.56	$1,351.56
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 $1,033.75 / $1,698.77 / $2,550.85	Professional		$1,033.75	$1,698.77	$2,550.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,112.86 / $1,720.17 / $2,494.75	Professional		$1,112.86	$1,720.17	$2,494.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,263.58 / $1,795.57	Professional		$115.97	$1,263.58	$1,795.57
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 $1,180.88 / $1,619.98 / $2,772.01	Professional		$1,180.88	$1,619.98	$2,772.01