Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.42 / $5,580.00 / $11,627.00	Facility		$1,120.42	$5,580.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.42 / $1,120.42 / $2,225.92	Professional		$1,120.42	$1,120.42	$2,225.92
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 $917.83 / $1,233.58 / $2,220.98	Professional		$917.83	$1,233.58	$2,220.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,062.44 / $1,274.93 / $1,992.08	Facility		$1,062.44	$1,274.93	$1,992.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,168.68 / $1,270.35 / $2,071.76	Professional		$1,168.68	$1,270.35	$2,071.76
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 $900.34 / $1,564.02 / $2,290.61	Professional		$900.34	$1,564.02	$2,290.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,062.44 / $1,613.09 / $2,213.14	Professional		$1,062.44	$1,613.09	$2,213.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,111.91 / $1,583.00	Professional		$115.77	$1,111.91	$1,583.00
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 $1,086.29 / $1,458.66 / $2,507.67	Professional		$1,086.29	$1,458.66	$2,507.67