Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,806.65 / $6,193.00 / $11,561.00	Facility		$1,806.65	$6,193.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.96 / $1,372.83 / $2,475.88	Professional		$1,214.96	$1,372.83	$2,475.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,918.00 / $19,117.00	Facility		$2,003.00	$4,918.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.03 / $1,326.57 / $2,442.92	Professional		$924.03	$1,326.57	$2,442.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,178.39 / $1,414.07 / $1,750.22	Facility		$1,178.39	$1,414.07	$1,750.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,222.54 / $1,296.23 / $1,296.23	Professional		$1,222.54	$1,296.23	$1,296.23
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 $995.77 / $1,649.75 / $2,484.65	Professional		$995.77	$1,649.75	$2,484.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,178.39 / $1,758.09 / $2,486.52	Professional		$1,178.39	$1,758.09	$2,486.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $1,019.05 / $1,648.45	Professional		$158.13	$1,019.05	$1,648.45
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 $1,156.21 / $1,590.83 / $2,776.29	Professional		$1,156.21	$1,590.83	$2,776.29