Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,955.17 / $6,251.00 / $11,581.00	Facility		$1,955.17	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,149.70 / $1,314.84 / $4,261.60	Professional		$1,149.70	$1,314.84	$4,261.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.79 / $1,333.03 / $2,352.46	Professional		$976.79	$1,333.03	$2,352.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,582.20 / $1,939.73 / $4,459.39	Facility		$1,582.20	$1,939.73	$4,459.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,191.88 / $1,521.35 / $2,373.30	Professional		$1,191.88	$1,521.35	$2,373.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $1,628.10 / $1,628.10	Professional		$1,628.10	$1,628.10	$1,628.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,080.89 / $2,080.89 / $2,080.89	Professional		$2,080.89	$2,080.89	$2,080.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $957.44 / $1,596.78	Professional		$152.74	$957.44	$1,596.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,360.00 / $5,605.00 / $9,483.00	Facility		$3,360.00	$5,605.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.39 / $1,436.54 / $2,848.43	Professional		$1,128.39	$1,436.54	$2,848.43