Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.17 / $4,723.00 / $11,627.00	Facility		$1,024.17	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.73 / $1,024.17 / $2,044.00	Professional		$1,004.73	$1,024.17	$2,044.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $8,450.20 / $15,206.26	Facility		$3,315.00	$8,450.20	$15,206.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.67 / $1,099.14 / $1,963.50	Professional		$806.67	$1,099.14	$1,963.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $966.40 / $1,159.68 / $1,435.36	Facility		$966.40	$1,159.68	$1,435.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,063.04 / $1,063.04 / $1,077.21	Professional		$1,063.04	$1,063.04	$1,077.21
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 $816.80 / $1,363.70 / $2,068.10	Professional		$816.80	$1,363.70	$2,068.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $957.99 / $1,450.35 / $2,032.24	Professional		$957.99	$1,450.35	$2,032.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $882.99 / $1,401.76	Professional		$78.29	$882.99	$1,401.76
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 $988.15 / $1,301.09 / $2,297.62	Professional		$988.15	$1,301.09	$2,297.62