Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.10 / $6,193.00 / $11,561.00	Facility		$1,672.10	$6,193.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,151.19 / $2,288.44	Professional		$1,124.48	$1,151.19	$2,288.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,173.00 / $36,529.00	Facility		$2,097.00	$8,173.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.90 / $1,203.47 / $2,238.63	Professional		$825.90	$1,203.47	$2,238.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,090.80 / $1,308.96 / $1,620.12	Facility		$1,090.80	$1,308.96	$1,620.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.72 / $1,199.88 / $1,199.88	Professional		$1,111.72	$1,199.88	$1,199.88
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 $921.85 / $1,527.12 / $2,298.38	Professional		$921.85	$1,527.12	$2,298.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,090.80 / $1,616.72 / $2,298.38	Professional		$1,090.80	$1,616.72	$2,298.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $923.90 / $1,498.95	Professional		$118.34	$923.90	$1,498.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.36 / $1,472.58 / $2,486.73	Professional		$1,076.36	$1,472.58	$2,486.73