Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.78 / $7,155.00 / $11,627.00	Facility		$1,535.78	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.78 / $1,535.78 / $2,900.91	Professional		$1,535.78	$1,535.78	$2,900.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.00 / $15,493.10 / $29,406.00	Facility		$5,920.00	$15,493.10	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,480.02 / $2,012.18 / $3,195.34	Professional		$1,480.02	$2,012.18	$3,195.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,672.46 / $2,006.95 / $3,135.87	Facility		$1,672.46	$2,006.95	$3,135.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,839.71 / $1,841.18 / $3,261.30	Professional		$1,839.71	$1,841.18	$3,261.30
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 $1,535.11 / $2,341.44 / $3,579.06	Professional		$1,535.11	$2,341.44	$3,579.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,672.46 / $2,458.03 / $3,488.92	Professional		$1,672.46	$2,458.03	$3,488.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $1,375.69 / $2,303.15	Professional		$198.14	$1,375.69	$2,303.15
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 $1,535.78 / $2,303.67 / $3,938.91	Professional		$1,535.78	$2,303.67	$3,938.91