Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.14 / $4,723.00 / $11,627.00	Facility		$1,268.14	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,268.14 / $1,268.14 / $2,523.69	Professional		$1,268.14	$1,268.14	$2,523.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,554.00 / $12,455.21 / $21,287.94	Facility		$3,554.00	$12,455.21	$21,287.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.62 / $1,347.83 / $2,467.84	Professional		$1,003.62	$1,347.83	$2,467.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,203.39 / $1,444.07 / $1,787.35	Facility		$1,203.39	$1,444.07	$1,787.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,299.61 / $1,323.73 / $1,323.73	Professional		$1,299.61	$1,323.73	$1,323.73
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 $1,019.75 / $1,684.74 / $2,597.02	Professional		$1,019.75	$1,684.74	$2,597.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,144.33 / $1,829.43 / $2,509.17	Professional		$1,144.33	$1,829.43	$2,509.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,233.53 / $1,765.11	Professional		$115.77	$1,233.53	$1,765.11
United Facility/Professional Facility Modifier Low / Median / High Price $325.13 / $1,775.00 / $4,132.00	Facility		$325.13	$1,775.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.67 / $1,655.53 / $2,825.60	Professional		$1,234.67	$1,655.53	$2,825.60