Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.94 / $6,251.00 / $11,581.00	Facility		$1,539.94	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.16 / $1,142.16 / $3,263.53	Professional		$1,142.16	$1,142.16	$3,263.53
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 $1,033.70 / $1,490.96 / $2,489.54	Professional		$1,033.70	$1,490.96	$2,489.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,150.40 / $1,380.48 / $2,157.00	Facility		$1,150.40	$1,380.48	$2,157.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,265.44 / $1,265.44 / $2,243.28	Professional		$1,265.44	$1,265.44	$2,243.28
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 $978.34 / $1,610.57 / $2,515.96	Professional		$978.34	$1,610.57	$2,515.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,150.40 / $1,651.20 / $2,521.44	Professional		$1,150.40	$1,651.20	$2,521.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $1,004.30 / $1,628.47	Professional		$78.92	$1,004.30	$1,628.47
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 $1,141.01 / $1,527.02 / $2,545.04	Professional		$1,141.01	$1,527.02	$2,545.04