Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.98 / $6,251.00 / $11,581.00	Facility		$1,687.98	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.37 / $1,135.16 / $3,005.03	Professional		$1,013.37	$1,135.16	$3,005.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.38 / $1,150.97 / $2,031.18	Professional		$843.38	$1,150.97	$2,031.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,366.04 / $1,674.72 / $2,049.06	Facility		$1,366.04	$1,674.72	$2,049.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,027.55 / $1,313.50 / $2,049.06	Professional		$1,027.55	$1,313.50	$2,049.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.73 / $1,401.73 / $1,401.73	Professional		$1,401.73	$1,401.73	$1,401.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,796.45 / $1,796.45 / $1,796.45	Professional		$1,796.45	$1,796.45	$1,796.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $814.84 / $1,355.52	Professional		$151.78	$814.84	$1,355.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.15 / $1,241.06 / $2,631.12	Professional		$981.15	$1,241.06	$2,631.12