Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.49 / $4,723.00 / $11,627.00	Facility		$1,095.49	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.11 / $1,095.49 / $2,176.07	Professional		$1,086.11	$1,095.49	$2,176.07
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 $889.33 / $1,194.84 / $2,143.48	Professional		$889.33	$1,194.84	$2,143.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.29 / $1,247.15 / $1,543.62	Facility		$1,039.29	$1,247.15	$1,543.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,143.22 / $1,143.22 / $1,212.34	Professional		$1,143.22	$1,143.22	$1,212.34
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 $880.73 / $1,455.01 / $2,239.30	Professional		$880.73	$1,455.01	$2,239.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,039.29 / $1,570.86 / $2,163.56	Professional		$1,039.29	$1,570.86	$2,163.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,085.03 / $1,520.18	Professional		$115.97	$1,085.03	$1,520.18
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 $1,057.96 / $1,413.29 / $2,440.92	Professional		$1,057.96	$1,413.29	$2,440.92