Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.00 / $5,355.00 / $10,817.74	Facility		$1,610.00	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.70 / $1,148.70 / $3,032.57	Professional		$1,148.70	$1,148.70	$3,032.57
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 $853.97 / $1,214.50 / $2,208.96	Professional		$853.97	$1,214.50	$2,208.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,112.83 / $1,335.40 / $1,652.84	Facility		$1,112.83	$1,335.40	$1,652.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,102.83 / $1,224.10 / $1,224.10	Professional		$1,102.83	$1,224.10	$1,224.10
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 $979.22 / $1,557.96 / $2,348.14	Professional		$979.22	$1,557.96	$2,348.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,112.83 / $1,615.31 / $2,348.14	Professional		$1,112.83	$1,615.31	$2,348.14
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 $2,647.00 / $3,964.80 / $6,238.00	Facility		$2,647.00	$3,964.80	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,082.51 / $1,502.33 / $2,612.79	Professional		$1,082.51	$1,502.33	$2,612.79