Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.33 / $5,417.00 / $11,627.00	Facility		$1,161.33	$5,417.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.33 / $1,161.33 / $2,328.98	Professional		$1,161.33	$1,161.33	$2,328.98
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 $920.92 / $1,310.96 / $2,209.25	Professional		$920.92	$1,310.96	$2,209.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,224.60 / $1,478.26 / $1,829.66	Facility		$1,224.60	$1,478.26	$1,829.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,101.88 / $1,355.07 / $1,355.07	Professional		$1,101.88	$1,355.07	$1,355.07
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 $1,031.80 / $1,703.30 / $2,607.10	Professional		$1,031.80	$1,703.30	$2,607.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,117.50 / $1,728.26 / $2,607.10	Professional		$1,117.50	$1,728.26	$2,607.10
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 $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 $1,214.40 / $1,692.64 / $2,804.65	Professional		$1,214.40	$1,692.64	$2,804.65