Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.45 / $4,723.00 / $11,627.00	Facility		$1,217.45	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.03 / $1,217.45 / $2,417.06	Professional		$1,195.03	$1,217.45	$2,417.06
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 $1,025.41 / $1,422.18 / $2,287.37	Professional		$1,025.41	$1,422.18	$2,287.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,155.24 / $1,386.29 / $2,166.08	Facility		$1,155.24	$1,386.29	$2,166.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,270.76 / $1,461.03 / $2,252.71	Professional		$1,270.76	$1,461.03	$2,252.71
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 $979.15 / $1,689.65 / $2,487.30	Professional		$979.15	$1,689.65	$2,487.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,137.08 / $1,741.62 / $2,403.17	Professional		$1,137.08	$1,741.62	$2,403.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,193.10 / $1,707.92	Professional		$115.97	$1,193.10	$1,707.92
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 $1,170.31 / $1,559.57 / $2,712.67	Professional		$1,170.31	$1,559.57	$2,712.67