Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.04 / $7,155.00 / $11,627.00	Facility		$1,992.04	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,992.04 / $1,992.04 / $3,956.18	Professional		$1,992.04	$1,992.04	$3,956.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,489.11 / $24,772.14	Facility		$4,142.00	$14,489.11	$24,772.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.42 / $2,048.78 / $3,426.92	Professional		$1,483.42	$2,048.78	$3,426.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,897.02 / $2,276.42 / $2,817.57	Facility		$1,897.02	$2,276.42	$2,817.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,602.02 / $2,086.71 / $2,086.71	Professional		$1,602.02	$2,086.71	$2,086.71
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 $1,613.67 / $2,655.83 / $4,059.63	Professional		$1,613.67	$2,655.83	$4,059.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,738.67 / $2,696.53 / $4,013.71	Professional		$1,738.67	$2,696.53	$4,013.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $1,631.13 / $2,674.00	Professional		$233.74	$1,631.13	$2,674.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.52 / $2,417.77 / $4,302.28	Professional		$1,698.52	$2,417.77	$4,302.28