Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.94 / $4,723.00 / $11,627.00	Facility		$1,169.94	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.25 / $1,169.94 / $2,219.37	Professional		$1,147.25	$1,169.94	$2,219.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.81 / $1,389.39 / $2,182.19	Professional		$938.81	$1,389.39	$2,182.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,137.59 / $1,365.12 / $1,689.63	Facility		$1,137.59	$1,365.12	$1,689.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,235.04 / $1,251.35 / $1,251.35	Professional		$1,235.04	$1,251.35	$1,251.35
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 $987.61 / $1,559.60 / $2,320.12	Professional		$987.61	$1,559.60	$2,320.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,137.59 / $1,592.64 / $2,320.12	Professional		$1,137.59	$1,592.64	$2,320.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $968.29 / $1,580.85	Professional		$151.78	$968.29	$1,580.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.95 / $1,501.23 / $2,588.96	Professional		$1,093.95	$1,501.23	$2,588.96