Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.39 / $5,135.00 / $11,627.00	Facility		$1,044.39	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.39 / $1,044.39 / $2,117.90	Professional		$1,044.39	$1,044.39	$2,117.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.95 / $1,259.78 / $2,044.56	Professional		$861.95	$1,259.78	$2,044.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,012.69 / $1,215.23 / $1,504.11	Facility		$1,012.69	$1,215.23	$1,504.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,058.42 / $1,113.96 / $1,113.96	Professional		$1,058.42	$1,113.96	$1,113.96
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 $902.68 / $1,417.77 / $2,134.09	Professional		$902.68	$1,417.77	$2,134.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,012.69 / $1,474.75 / $2,134.09	Professional		$1,012.69	$1,474.75	$2,134.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $876.47 / $1,411.78	Professional		$118.34	$876.47	$1,411.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.07 / $1,355.24 / $2,294.08	Professional		$953.07	$1,355.24	$2,294.08