Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.28 / $4,980.00 / $11,627.00	Facility		$1,233.28	$4,980.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.89 / $1,233.28 / $2,470.33	Professional		$1,187.89	$1,233.28	$2,470.33
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 $917.76 / $1,262.66 / $2,148.98	Professional		$917.76	$1,262.66	$2,148.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,169.13 / $1,402.96 / $1,863.30	Facility		$1,169.13	$1,402.96	$1,863.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,286.04 / $1,286.04 / $2,279.81	Professional		$1,286.04	$1,286.04	$2,279.81
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 $983.80 / $1,626.63 / $2,462.77	Professional		$983.80	$1,626.63	$2,462.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,072.96 / $1,642.01 / $2,462.69	Professional		$1,072.96	$1,642.01	$2,462.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,228.62 / $1,748.79	Professional		$115.97	$1,228.62	$1,748.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.81 / $1,578.33 / $2,747.94	Professional		$1,129.81	$1,578.33	$2,747.94