Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.19 / $5,135.00 / $11,627.00	Facility		$1,091.19	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.19 / $1,091.19 / $2,154.38	Professional		$1,091.19	$1,091.19	$2,154.38
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 $734.53 / $1,142.28 / $1,915.90	Professional		$734.53	$1,142.28	$1,915.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,159.05 / $1,390.86 / $1,721.49	Facility		$1,159.05	$1,390.86	$1,721.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,014.46 / $1,274.96 / $1,274.96	Professional		$1,014.46	$1,274.96	$1,274.96
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 $972.70 / $1,506.76 / $2,441.42	Professional		$972.70	$1,506.76	$2,441.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,108.69 / $1,529.94 / $2,441.42	Professional		$1,108.69	$1,529.94	$2,441.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $1,145.23 / $1,697.16	Professional		$188.70	$1,145.23	$1,697.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.89 / $1,545.09 / $2,610.94	Professional		$961.89	$1,545.09	$2,610.94