Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.48 / $4,723.00 / $11,627.00	Facility		$1,094.48	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.33 / $1,094.48 / $2,174.73	Professional		$1,078.33	$1,094.48	$2,174.73
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 $871.28 / $1,186.21 / $2,137.32	Professional		$871.28	$1,186.21	$2,137.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,038.67 / $1,246.40 / $1,542.69	Facility		$1,038.67	$1,246.40	$1,542.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,142.54 / $1,142.54 / $1,151.38	Professional		$1,142.54	$1,142.54	$1,151.38
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 $880.20 / $1,454.14 / $2,237.92	Professional		$880.20	$1,454.14	$2,237.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,038.67 / $1,574.56 / $2,181.21	Professional		$1,038.67	$1,574.56	$2,181.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,085.03 / $1,520.18	Professional		$115.97	$1,085.03	$1,520.18
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 $1,054.58 / $1,425.04 / $2,438.67	Professional		$1,054.58	$1,425.04	$2,438.67