Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.94 / $7,155.00 / $11,627.00	Facility		$1,866.94	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,866.94 / $1,866.94 / $3,703.41	Professional		$1,866.94	$1,866.94	$3,703.41
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 $1,416.21 / $1,920.39 / $3,210.33	Professional		$1,416.21	$1,920.39	$3,210.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,778.14 / $2,133.77 / $2,641.00	Facility		$1,778.14	$2,133.77	$2,641.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,555.18 / $1,955.95 / $1,955.95	Professional		$1,555.18	$1,955.95	$1,955.95
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 $1,512.82 / $2,486.84 / $3,805.23	Professional		$1,512.82	$2,486.84	$3,805.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,626.48 / $2,526.33 / $3,757.25	Professional		$1,626.48	$2,526.33	$3,757.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $1,529.79 / $2,506.49	Professional		$233.74	$1,529.79	$2,506.49
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 $1,664.75 / $2,299.87 / $4,098.74	Professional		$1,664.75	$2,299.87	$4,098.74