Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.77 / $5,709.00 / $11,627.00	Facility		$1,117.77	$5,709.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.77 / $1,117.77 / $2,258.03	Professional		$1,117.77	$1,117.77	$2,258.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,813.00 / $17,502.61 / $31,496.21	Facility		$6,813.00	$17,502.61	$31,496.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.05 / $1,331.68 / $2,088.81	Professional		$946.05	$1,331.68	$2,088.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,185.84 / $1,425.36 / $1,764.19	Facility		$1,185.84	$1,425.36	$1,764.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,151.65 / $1,306.58 / $1,306.58	Professional		$1,151.65	$1,306.58	$1,306.58
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 $995.99 / $1,637.90 / $2,503.83	Professional		$995.99	$1,637.90	$2,503.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,076.34 / $1,662.91 / $2,503.83	Professional		$1,076.34	$1,662.91	$2,503.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $1,156.67 / $1,722.41	Professional		$188.70	$1,156.67	$1,722.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.99 / $1,588.85 / $2,688.94	Professional		$1,155.99	$1,588.85	$2,688.94