Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.37 / $8,037.00 / $11,754.00	Facility		$1,604.37	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.93 / $1,078.93 / $3,582.12	Professional		$1,078.93	$1,078.93	$3,582.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $12,455.21 / $21,287.94	Facility		$4,142.00	$12,455.21	$21,287.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.59 / $1,179.27 / $2,130.89	Professional		$866.59	$1,179.27	$2,130.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,024.33 / $1,229.20 / $1,521.39	Facility		$1,024.33	$1,229.20	$1,521.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,036.45 / $1,126.76 / $1,126.76	Professional		$1,036.45	$1,126.76	$1,126.76
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 $868.29 / $1,434.06 / $2,204.85	Professional		$868.29	$1,434.06	$2,204.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,024.33 / $1,519.24 / $2,130.28	Professional		$1,024.33	$1,519.24	$2,130.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,077.44 / $1,535.72	Professional		$115.97	$1,077.44	$1,535.72
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 $1,037.80 / $1,406.20 / $2,408.85	Professional		$1,037.80	$1,406.20	$2,408.85