Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.46 / $4,723.00 / $11,627.00	Facility		$1,078.46	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.46 / $1,078.46 / $2,139.61	Professional		$1,078.46	$1,078.46	$2,139.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,974.00 / $8,812.62 / $16,874.09	Facility		$3,974.00	$8,812.62	$16,874.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.34 / $1,118.93 / $1,997.50	Professional		$812.34	$1,118.93	$1,997.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,014.17 / $1,217.00 / $1,506.31	Facility		$1,014.17	$1,217.00	$1,506.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,001.41 / $1,115.58 / $1,115.58	Professional		$1,001.41	$1,115.58	$1,115.58
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 $858.52 / $1,419.84 / $2,144.51	Professional		$858.52	$1,419.84	$2,144.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $922.26 / $1,487.95 / $2,144.51	Professional		$922.26	$1,487.95	$2,144.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $944.42 / $1,494.14	Professional		$78.29	$944.42	$1,494.14
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 $1,014.77 / $1,359.76 / $2,359.48	Professional		$1,014.77	$1,359.76	$2,359.48