Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.13 / $5,201.00 / $11,627.00	Facility		$1,611.13	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.48 / $1,083.48 / $2,098.19	Professional		$1,083.48	$1,083.48	$2,098.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.07 / $1,173.64 / $2,034.16	Professional		$899.07	$1,173.64	$2,034.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $934.45 / $1,484.38 / $1,484.38	Facility		$934.45	$1,484.38	$1,484.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,099.34 / $1,099.34 / $1,115.63	Professional		$1,099.34	$1,099.34	$1,115.63
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 $847.18 / $1,399.17 / $2,152.55	Professional		$847.18	$1,399.17	$2,152.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $987.08 / $1,504.03 / $2,079.75	Professional		$987.08	$1,504.03	$2,079.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $999.38 / $1,435.96	Professional		$115.97	$999.38	$1,435.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $982.39 / $1,293.59 / $2,222.30	Professional		$982.39	$1,293.59	$2,222.30