Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.97 / $8,553.00 / $11,627.00	Facility		$1,322.97	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.69 / $1,322.97 / $1,946.46	Professional		$1,021.69	$1,322.97	$1,946.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $15,620.02 / $26,817.40	Facility		$4,142.00	$15,620.02	$26,817.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.27 / $1,193.84 / $2,184.14	Professional		$927.27	$1,193.84	$2,184.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,428.10 / $2,079.50 / $2,079.50	Facility		$1,428.10	$2,079.50	$2,079.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,201.06 / $1,540.10 / $1,540.10	Professional		$1,201.06	$1,540.10	$1,540.10
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 $1,156.36 / $1,678.38 / $2,408.46	Professional		$1,156.36	$1,678.38	$2,408.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,224.44 / $1,680.11 / $2,420.96	Professional		$1,224.44	$1,680.11	$2,420.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,223.20 / $1,670.84 / $2,284.76	Professional		$1,223.20	$1,670.84	$2,284.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $2,934.00 / $6,111.00	Facility		$1,480.00	$2,934.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $926.10 / $1,353.98 / $2,074.40	Professional		$926.10	$1,353.98	$2,074.40