Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.13 / $6,813.00 / $14,500.00	Facility		$1,435.13	$6,813.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.12 / $965.12 / $2,438.00	Professional		$965.12	$965.12	$2,438.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $5,129.00 / $25,522.00	Facility		$2,291.00	$5,129.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.55 / $1,062.88 / $1,941.45	Professional		$789.55	$1,062.88	$1,941.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $915.41 / $1,098.49 / $1,716.39	Facility		$915.41	$1,098.49	$1,716.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,006.95 / $1,006.95 / $1,785.05	Professional		$1,006.95	$1,006.95	$1,785.05
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 $775.59 / $1,281.57 / $1,975.29	Professional		$775.59	$1,281.57	$1,975.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $888.31 / $1,390.11 / $1,908.49	Professional		$888.31	$1,390.11	$1,908.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $834.84 / $1,314.25	Professional		$78.29	$834.84	$1,314.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.47 / $1,257.72 / $2,163.48	Professional		$930.47	$1,257.72	$2,163.48