Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.41 / $8,037.00 / $11,754.00	Facility		$1,524.41	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.16 / $1,025.16 / $2,685.92	Professional		$1,025.16	$1,025.16	$2,685.92
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 $916.09 / $1,322.57 / $2,254.60	Professional		$916.09	$1,322.57	$2,254.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,030.58 / $1,236.70 / $1,932.35	Facility		$1,030.58	$1,236.70	$1,932.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,133.64 / $1,195.72 / $2,009.63	Professional		$1,133.64	$1,195.72	$2,009.63
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 $877.37 / $1,442.81 / $2,205.42	Professional		$877.37	$1,442.81	$2,205.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,030.58 / $1,533.63 / $2,187.53	Professional		$1,030.58	$1,533.63	$2,187.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $901.20 / $1,460.98	Professional		$78.92	$901.20	$1,460.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,879.00 / $5,726.00 / $9,483.00	Facility		$3,879.00	$5,726.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,007.81 / $1,391.28 / $2,278.54	Professional		$1,007.81	$1,391.28	$2,278.54