Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.65 / $8,055.00 / $12,117.00	Facility		$1,416.65	$8,055.00	$12,117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.69 / $952.69 / $2,756.24	Professional		$952.69	$952.69	$2,756.24
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 $854.37 / $1,219.22 / $2,035.77	Professional		$854.37	$1,219.22	$2,035.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $961.30 / $1,153.56 / $1,532.07	Facility		$961.30	$1,153.56	$1,532.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,057.43 / $1,093.15 / $1,874.54	Professional		$1,057.43	$1,093.15	$1,874.54
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 $816.97 / $1,345.83 / $2,057.19	Professional		$816.97	$1,345.83	$2,057.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $961.30 / $1,398.46 / $2,027.51	Professional		$961.30	$1,398.46	$2,027.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $860.93 / $1,378.26	Professional		$78.92	$860.93	$1,378.26
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 $963.65 / $1,278.88 / $2,142.17	Professional		$963.65	$1,278.88	$2,142.17