Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.82 / $5,513.00 / $11,627.00	Facility		$1,140.82	$5,513.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.39 / $1,140.82 / $2,263.85	Professional		$1,100.39	$1,140.82	$2,263.85
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 $918.76 / $1,297.08 / $2,204.09	Professional		$918.76	$1,297.08	$2,204.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,203.74 / $1,452.25 / $1,797.47	Facility		$1,203.74	$1,452.25	$1,797.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.59 / $1,331.23 / $1,331.23	Professional		$1,111.59	$1,331.23	$1,331.23
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 $978.29 / $1,674.02 / $2,561.17	Professional		$978.29	$1,674.02	$2,561.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,164.39 / $1,697.86 / $2,561.17	Professional		$1,164.39	$1,697.86	$2,561.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $1,178.82 / $1,733.81	Professional		$188.70	$1,178.82	$1,733.81
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 $1,116.02 / $1,574.03 / $2,845.85	Professional		$1,116.02	$1,574.03	$2,845.85