Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.31 / $4,723.00 / $11,627.00	Facility		$1,146.31	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.54 / $1,146.31 / $2,277.81	Professional		$1,128.54	$1,146.31	$2,277.81
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 $945.48 / $1,252.26 / $2,208.10	Professional		$945.48	$1,252.26	$2,208.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.53 / $1,305.04 / $2,039.12	Facility		$1,087.53	$1,305.04	$2,039.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,196.28 / $1,296.91 / $2,120.69	Professional		$1,196.28	$1,296.91	$2,120.69
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 $921.51 / $1,522.54 / $2,344.00	Professional		$921.51	$1,522.54	$2,344.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,073.66 / $1,650.58 / $2,264.71	Professional		$1,073.66	$1,650.58	$2,264.71
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 $1,115.63 / $1,499.71 / $2,554.15	Professional		$1,115.63	$1,499.71	$2,554.15