Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.76 / $3,053.00 / $10,635.00	Facility		$1,283.76	$3,053.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.64 / $1,167.05 / $2,336.75	Professional		$1,113.64	$1,167.05	$2,336.75
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 $812.43 / $1,166.07 / $1,997.73	Professional		$812.43	$1,166.07	$1,997.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,107.02 / $1,328.42 / $1,644.21	Facility		$1,107.02	$1,328.42	$1,644.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,051.20 / $1,217.72 / $1,217.72	Professional		$1,051.20	$1,217.72	$1,217.72
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 $931.73 / $1,492.73 / $2,331.73	Professional		$931.73	$1,492.73	$2,331.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,015.37 / $1,549.83 / $2,324.73	Professional		$1,015.37	$1,549.83	$2,324.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,145.51 / $1,628.80	Professional		$115.97	$1,145.51	$1,628.80
United Facility/Professional Facility Modifier Low / Median / High Price $325.13 / $1,775.00 / $4,132.00	Facility		$325.13	$1,775.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.75 / $1,482.45 / $2,600.37	Professional		$1,038.75	$1,482.45	$2,600.37