Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.00 / $3,698.00 / $10,635.00	Facility		$1,406.00	$3,698.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.98 / $1,146.19 / $2,673.45	Professional		$1,128.98	$1,146.19	$2,673.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.04 / $1,231.03 / $2,245.14	Professional		$913.04	$1,231.03	$2,245.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.42 / $1,304.90 / $1,615.10	Facility		$1,087.42	$1,304.90	$1,615.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,145.17 / $1,196.16 / $1,196.16	Professional		$1,145.17	$1,196.16	$1,196.16
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 $921.43 / $1,522.38 / $2,344.40	Professional		$921.43	$1,522.38	$2,344.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,068.32 / $1,646.95 / $2,265.11	Professional		$1,068.32	$1,646.95	$2,265.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,142.84 / $1,620.57	Professional		$115.77	$1,142.84	$1,620.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $6,111.00 / $9,245.00	Facility		$2,904.00	$6,111.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.69 / $1,499.99 / $2,553.88	Professional		$1,107.69	$1,499.99	$2,553.88