Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.51 / $5,355.00 / $10,817.74	Facility		$1,616.51	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.25 / $1,211.25 / $3,173.47	Professional		$1,211.25	$1,211.25	$3,173.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,563.00 / $29,406.00	Facility		$1,895.00	$5,563.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,030.90 / $1,407.66 / $2,453.96	Professional		$1,030.90	$1,407.66	$2,453.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,153.56 / $1,384.27 / $1,838.49	Facility		$1,153.56	$1,384.27	$1,838.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,268.92 / $1,378.53 / $2,249.44	Professional		$1,268.92	$1,378.53	$2,249.44
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 $1,000.42 / $1,636.19 / $2,468.61	Professional		$1,000.42	$1,636.19	$2,468.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,153.56 / $1,745.66 / $2,427.94	Professional		$1,153.56	$1,745.66	$2,427.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,166.64 / $1,705.44	Professional		$115.97	$1,166.64	$1,705.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.05 / $1,523.12 / $2,649.93	Professional		$1,101.05	$1,523.12	$2,649.93