Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.73 / $8,553.00 / $12,117.00	Facility		$1,934.73	$8,553.00	$12,117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.68 / $1,328.18 / $2,687.07	Professional		$1,088.68	$1,328.18	$2,687.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,142.00 / $8,543.00 / $36,529.00	Facility		$2,142.00	$8,543.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.10 / $1,218.14 / $2,224.62	Professional		$870.10	$1,218.14	$2,224.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,056.53 / $1,267.83 / $1,569.22	Facility		$1,056.53	$1,267.83	$1,569.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,126.39 / $1,162.18 / $1,162.18	Professional		$1,126.39	$1,162.18	$1,162.18
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 $892.65 / $1,479.15 / $2,223.48	Professional		$892.65	$1,479.15	$2,223.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,056.53 / $1,586.11 / $2,224.96	Professional		$1,056.53	$1,586.11	$2,224.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $909.51 / $1,458.59	Professional		$116.52	$909.51	$1,458.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.04 / $1,402.69 / $2,365.04	Professional		$1,025.04	$1,402.69	$2,365.04