Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.28 / $4,723.00 / $11,627.00	Facility		$1,140.28	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.69 / $1,140.28 / $2,264.85	Professional		$1,122.69	$1,140.28	$2,264.85
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 $975.74 / $1,356.31 / $2,264.08	Professional		$975.74	$1,356.31	$2,264.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,081.83 / $1,298.21 / $1,606.82	Facility		$1,081.83	$1,298.21	$1,606.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,190.02 / $1,190.02 / $1,234.57	Professional		$1,190.02	$1,190.02	$1,234.57
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 $916.68 / $1,516.03 / $2,330.65	Professional		$916.68	$1,516.03	$2,330.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,081.83 / $1,627.39 / $2,251.82	Professional		$1,081.83	$1,627.39	$2,251.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,142.84 / $1,620.57	Professional		$115.77	$1,142.84	$1,620.57
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 $1,097.83 / $1,460.48 / $2,552.64	Professional		$1,097.83	$1,460.48	$2,552.64