Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.76 / $1,871.78 / $4,631.47	Facility		$1,258.76	$1,871.78	$4,631.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.04 / $1,259.48 / $2,546.88	Professional		$1,231.04	$1,259.48	$2,546.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.50 / $999.64 / $1,948.61	Professional		$730.50	$999.64	$1,948.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,324.99 / $1,601.60 / $1,982.34	Facility		$1,324.99	$1,601.60	$1,982.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,006.60 / $1,468.14 / $1,468.14	Professional		$1,006.60	$1,468.14	$1,468.14
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 $800.19 / $1,804.23 / $2,828.53	Professional		$800.19	$1,804.23	$2,828.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $929.84 / $1,847.09 / $2,828.53	Professional		$929.84	$1,847.09	$2,828.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,152.15 / $1,888.81	Professional		$185.93	$1,152.15	$1,888.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.64 / $1,795.46 / $3,050.27	Professional		$1,107.64	$1,795.46	$3,050.27