Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.57 / $5,355.00 / $10,817.74	Facility		$1,538.57	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.68 / $1,034.68 / $2,303.42	Professional		$1,034.68	$1,034.68	$2,303.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.39 / $1,121.80 / $1,989.15	Professional		$873.39	$1,121.80	$1,989.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.37 / $1,145.24 / $1,417.49	Facility		$954.37	$1,145.24	$1,417.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,049.81 / $1,049.81 / $1,086.75	Professional		$1,049.81	$1,049.81	$1,086.75
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 $808.92 / $1,358.80 / $2,055.96	Professional		$808.92	$1,358.80	$2,055.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $954.37 / $1,439.34 / $2,009.45	Professional		$954.37	$1,439.34	$2,009.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $987.05 / $1,407.35	Professional		$115.97	$987.05	$1,407.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.33 / $1,279.67 / $2,125.73	Professional		$938.33	$1,279.67	$2,125.73