Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.51 / $4,723.00 / $11,627.00	Facility		$1,035.51	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.51 / $1,035.51 / $2,100.94	Professional		$1,035.51	$1,035.51	$2,100.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,932.00 / $12,098.50 / $22,852.30	Facility		$4,932.00	$12,098.50	$22,852.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.23 / $1,247.33 / $2,033.78	Professional		$856.23	$1,247.33	$2,033.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,003.35 / $1,204.02 / $1,490.23	Facility		$1,003.35	$1,204.02	$1,490.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $990.25 / $1,103.69 / $1,103.69	Professional		$990.25	$1,103.69	$1,103.69
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 $891.95 / $1,404.69 / $2,114.59	Professional		$891.95	$1,404.69	$2,114.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,003.35 / $1,470.71 / $2,114.59	Professional		$1,003.35	$1,470.71	$2,114.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $868.73 / $1,377.82	Professional		$116.52	$868.73	$1,377.82
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 $981.79 / $1,380.86 / $2,577.73	Professional		$981.79	$1,380.86	$2,577.73