Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.78 / $5,311.00 / $11,627.00	Facility		$1,861.78	$5,311.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,376.81 / $1,376.81 / $3,647.63	Professional		$1,376.81	$1,376.81	$3,647.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.74 / $1,630.44 / $2,874.88	Professional		$1,207.74	$1,630.44	$2,874.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,307.67 / $1,569.20 / $1,942.23	Facility		$1,307.67	$1,569.20	$1,942.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,344.54 / $1,438.44 / $1,438.44	Professional		$1,344.54	$1,438.44	$1,438.44
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 $1,182.94 / $1,864.42 / $2,854.09	Professional		$1,182.94	$1,864.42	$2,854.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,307.67 / $2,007.27 / $2,774.59	Professional		$1,307.67	$2,007.27	$2,774.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $1,131.15 / $1,852.70	Professional		$150.26	$1,131.15	$1,852.70
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 $1,271.03 / $1,711.12 / $2,981.02	Professional		$1,271.03	$1,711.12	$2,981.02