Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.19 / $7,501.00 / $17,682.00	Facility		$1,373.19	$7,501.00	$17,682.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.99 / $5,520.15 / $8,208.45	Professional		$783.99	$5,520.15	$8,208.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,142.00 / $8,543.00 / $36,529.00	Facility		$2,142.00	$8,543.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.46 / $2,577.60 / $8,630.33	Professional		$934.46	$2,577.60	$8,630.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $723.67 / $868.40 / $1,074.83	Facility		$723.67	$868.40	$1,074.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,365.59 / $5,334.71 / $5,334.71	Professional		$4,365.59	$5,334.71	$5,334.71
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 $793.47 / $1,714.20 / $10,143.48	Professional		$793.47	$1,714.20	$10,143.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $796.04 / $2,031.84 / $10,143.48	Professional		$796.04	$2,031.84	$10,143.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.65 / $4,443.76 / $7,303.06	Professional		$436.65	$4,443.76	$7,303.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,351.00 / $11,267.00 / $15,869.00	Facility		$5,351.00	$11,267.00	$15,869.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,368.56 / $7,037.91 / $12,050.73	Professional		$1,368.56	$7,037.91	$12,050.73