Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.47 / $6,251.00 / $11,581.00	Facility		$1,523.47	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.63 / $1,280.63 / $3,467.63	Professional		$1,280.63	$1,280.63	$3,467.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.15 / $1,371.90 / $2,557.44	Professional		$974.15	$1,371.90	$2,557.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,241.54 / $1,489.85 / $1,844.01	Facility		$1,241.54	$1,489.85	$1,844.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,295.13 / $1,365.69 / $1,365.69	Professional		$1,295.13	$1,365.69	$1,365.69
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 $1,049.07 / $1,738.15 / $2,618.96	Professional		$1,049.07	$1,738.15	$2,618.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,241.54 / $1,853.49 / $2,621.81	Professional		$1,241.54	$1,853.49	$2,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $1,046.55 / $1,691.47	Professional		$158.13	$1,046.55	$1,691.47
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 $1,225.40 / $1,676.08 / $2,841.57	Professional		$1,225.40	$1,676.08	$2,841.57