Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,414.87 / $6,251.00 / $11,581.00	Facility		$1,414.87	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.82 / $1,196.65 / $2,421.71	Professional		$1,188.82	$1,196.65	$2,421.71
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 $889.03 / $1,272.46 / $2,372.50	Professional		$889.03	$1,272.46	$2,372.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,153.33 / $1,384.00 / $1,712.99	Facility		$1,153.33	$1,384.00	$1,712.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,192.42 / $1,268.66 / $1,268.66	Professional		$1,192.42	$1,268.66	$1,268.66
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 $974.62 / $1,614.66 / $2,432.01	Professional		$974.62	$1,614.66	$2,432.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,153.33 / $1,707.33 / $2,432.11	Professional		$1,153.33	$1,707.33	$2,432.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $993.95 / $1,614.76	Professional		$158.13	$993.95	$1,614.76
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 $1,144.96 / $1,598.78 / $2,607.08	Professional		$1,144.96	$1,598.78	$2,607.08