Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.44 / $5,135.00 / $11,627.00	Facility		$1,160.44	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.44 / $1,160.44 / $2,302.17	Professional		$1,160.44	$1,160.44	$2,302.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.69 / $1,381.06 / $2,242.85	Professional		$937.69	$1,381.06	$2,242.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,223.77 / $1,477.12 / $1,828.25	Facility		$1,223.77	$1,477.12	$1,828.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,354.02 / $1,354.02 / $1,354.07	Professional		$1,354.02	$1,354.02	$1,354.07
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 $1,101.33 / $1,702.82 / $2,605.77	Professional		$1,101.33	$1,702.82	$2,605.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,220.08 / $1,766.80 / $2,605.77	Professional		$1,220.08	$1,766.80	$2,605.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $1,206.56 / $1,765.46	Professional		$188.70	$1,206.56	$1,765.46
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 $1,214.06 / $1,661.76 / $2,803.87	Professional		$1,214.06	$1,661.76	$2,803.87