Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.69 / $5,447.00 / $10,817.74	Facility		$1,366.69	$5,447.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.15 / $1,028.15 / $2,065.01	Professional		$1,028.15	$1,028.15	$2,065.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.18 / $1,179.66 / $1,986.23	Professional		$831.18	$1,179.66	$1,986.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,087.49 / $1,310.74 / $1,740.83	Facility		$1,087.49	$1,310.74	$1,740.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,201.51 / $1,201.51 / $2,129.94	Professional		$1,201.51	$1,201.51	$2,129.94
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 $957.55 / $1,508.69 / $2,308.23	Professional		$957.55	$1,508.69	$2,308.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,071.43 / $1,539.23 / $2,308.23	Professional		$1,071.43	$1,539.23	$2,308.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.34 / $945.13 / $1,532.82	Professional		$151.34	$945.13	$1,532.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,351.00	Facility		$2,647.00	$4,404.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.00 / $1,474.58 / $2,480.40	Professional		$1,074.00	$1,474.58	$2,480.40