Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,893.49 / $7,155.00 / $11,627.00	Facility		$1,893.49	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,893.49 / $1,893.49 / $3,756.84	Professional		$1,893.49	$1,893.49	$3,756.84
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 $1,383.35 / $1,911.33 / $3,188.43	Professional		$1,383.35	$1,911.33	$3,188.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,803.73 / $2,164.48 / $2,679.01	Facility		$1,803.73	$2,164.48	$2,679.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,479.80 / $1,984.10 / $1,984.10	Professional		$1,479.80	$1,984.10	$1,984.10
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 $1,532.55 / $2,520.41 / $3,859.98	Professional		$1,532.55	$2,520.41	$3,859.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,649.97 / $2,562.62 / $3,811.47	Professional		$1,649.97	$2,562.62	$3,811.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $1,541.98 / $2,524.16	Professional		$233.74	$1,541.98	$2,524.16
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 $1,680.65 / $2,442.67 / $4,157.92	Professional		$1,680.65	$2,442.67	$4,157.92