Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $7,710.00 / $11,735.00	Facility		$1,335.00	$7,710.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.30 / $1,003.30 / $2,648.71	Professional		$1,003.30	$1,003.30	$2,648.71
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 $879.95 / $1,269.20 / $2,119.23	Professional		$879.95	$1,269.20	$2,119.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,007.78 / $1,209.33 / $1,889.60	Facility		$1,007.78	$1,209.33	$1,889.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,108.56 / $1,132.45 / $1,965.17	Professional		$1,108.56	$1,132.45	$1,965.17
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 $858.14 / $1,410.89 / $2,156.64	Professional		$858.14	$1,410.89	$2,156.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,007.78 / $1,441.59 / $2,141.15	Professional		$1,007.78	$1,441.59	$2,141.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $888.99 / $1,441.73	Professional		$78.80	$888.99	$1,441.73
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 $947.59 / $1,361.50 / $2,180.30	Professional		$947.59	$1,361.50	$2,180.30