Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.31 / $4,785.00 / $11,627.00	Facility		$1,146.31	$4,785.00	$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 $964.76 / $1,288.89 / $2,212.66	Professional		$964.76	$1,288.89	$2,212.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.53 / $1,305.04 / $1,615.27	Facility		$1,087.53	$1,305.04	$1,615.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,196.28 / $1,196.28 / $1,272.34	Professional		$1,196.28	$1,196.28	$1,272.34
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 $921.51 / $1,530.53 / $2,344.00	Professional		$921.51	$1,530.53	$2,344.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,071.07 / $1,621.52 / $2,264.71	Professional		$1,071.07	$1,621.52	$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 $1,103.84 / $1,492.08 / $2,554.15	Professional		$1,103.84	$1,492.08	$2,554.15