Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.83 / $4,723.00 / $11,627.00	Facility		$1,223.83	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.24 / $1,223.83 / $2,430.73	Professional		$1,201.24	$1,223.83	$2,430.73
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 $964.27 / $1,310.47 / $2,285.21	Professional		$964.27	$1,310.47	$2,285.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,162.25 / $1,394.70 / $2,179.21	Facility		$1,162.25	$1,394.70	$2,179.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,278.48 / $1,300.16 / $2,266.40	Professional		$1,278.48	$1,300.16	$2,266.40
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 $985.02 / $1,627.15 / $2,501.36	Professional		$985.02	$1,627.15	$2,501.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,136.68 / $1,753.80 / $2,416.76	Professional		$1,136.68	$1,753.80	$2,416.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,221.31 / $1,715.79	Professional		$115.97	$1,221.31	$1,715.79
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 $1,175.94 / $1,588.64 / $2,734.25	Professional		$1,175.94	$1,588.64	$2,734.25