Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $8,037.00 / $11,754.00	Facility		$1,575.00	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.75 / $1,121.75 / $2,961.42	Professional		$1,121.75	$1,121.75	$2,961.42
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 $970.26 / $1,390.40 / $2,371.90	Professional		$970.26	$1,390.40	$2,371.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,132.81 / $1,359.37 / $2,124.02	Facility		$1,132.81	$1,359.37	$2,124.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,246.08 / $1,246.08 / $2,208.98	Professional		$1,246.08	$1,246.08	$2,208.98
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 $966.81 / $1,585.93 / $2,408.34	Professional		$966.81	$1,585.93	$2,408.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,002.25 / $1,609.00 / $2,408.34	Professional		$1,002.25	$1,609.00	$2,408.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $1,002.17 / $1,628.05	Professional		$115.80	$1,002.17	$1,628.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.55 / $1,495.01 / $2,452.57	Professional		$1,071.55	$1,495.01	$2,452.57