Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,292.00 / $8,037.00 / $11,754.00	Facility		$2,292.00	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,558.74 / $1,558.74 / $3,626.50	Professional		$1,558.74	$1,558.74	$3,626.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.00 / $4,470.00 / $19,117.00	Facility		$2,258.00	$4,470.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.50 / $1,729.73 / $3,043.32	Professional		$1,278.50	$1,729.73	$3,043.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,486.63 / $1,783.96 / $2,208.03	Facility		$1,486.63	$1,783.96	$2,208.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,442.29 / $1,635.29 / $1,635.29	Professional		$1,442.29	$1,635.29	$1,635.29
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 $1,263.13 / $2,078.80 / $3,152.55	Professional		$1,263.13	$2,078.80	$3,152.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,450.71 / $2,112.42 / $3,152.55	Professional		$1,450.71	$2,112.42	$3,152.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $1,240.40 / $2,084.47	Professional		$156.59	$1,240.40	$2,084.47
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 $1,396.68 / $2,006.95 / $3,418.91	Professional		$1,396.68	$2,006.95	$3,418.91