Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.09 / $4,723.00 / $11,627.00	Facility		$1,121.09	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.79 / $1,121.09 / $1,968.28	Professional		$1,071.79	$1,121.09	$1,968.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $8,450.20 / $15,206.26	Facility		$3,315.00	$8,450.20	$15,206.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.68 / $1,183.08 / $1,994.20	Professional		$909.68	$1,183.08	$1,994.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,033.85 / $1,240.63 / $1,535.54	Facility		$1,033.85	$1,240.63	$1,535.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,137.25 / $1,137.25 / $1,186.58	Professional		$1,137.25	$1,137.25	$1,186.58
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 $876.36 / $1,447.40 / $2,225.25	Professional		$876.36	$1,447.40	$2,225.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $979.81 / $1,554.48 / $2,149.98	Professional		$979.81	$1,554.48	$2,149.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,077.44 / $1,535.72	Professional		$115.97	$1,077.44	$1,535.72
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 $980.27 / $1,369.38 / $2,300.37	Professional		$980.27	$1,369.38	$2,300.37