Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.29 / $9,504.00 / $11,627.00	Facility		$1,137.29	$9,504.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.29 / $1,137.29 / $2,306.12	Professional		$1,137.29	$1,137.29	$2,306.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.05 / $1,289.42 / $2,263.69	Professional		$953.05	$1,289.42	$2,263.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,101.70 / $1,322.04 / $1,636.31	Facility		$1,101.70	$1,322.04	$1,636.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,119.05 / $1,211.86 / $1,211.86	Professional		$1,119.05	$1,211.86	$1,211.86
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 $991.45 / $1,542.38 / $2,325.87	Professional		$991.45	$1,542.38	$2,325.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,101.70 / $1,599.89 / $2,325.87	Professional		$1,101.70	$1,599.89	$2,325.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $944.24 / $1,531.65	Professional		$118.34	$944.24	$1,531.65
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 $1,072.43 / $1,517.11 / $2,587.87	Professional		$1,072.43	$1,517.11	$2,587.87