Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $6,345.00 / $11,627.00	Facility		$1,925.00	$6,345.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,701.53 / $1,701.53 / $4,453.00	Professional		$1,701.53	$1,701.53	$4,453.00
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 $1,423.42 / $1,875.57 / $3,088.16	Professional		$1,423.42	$1,875.57	$3,088.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,624.72 / $1,949.66 / $2,413.14	Facility		$1,624.72	$1,949.66	$2,413.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,787.19 / $1,787.19 / $1,899.02	Professional		$1,787.19	$1,787.19	$1,899.02
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 $1,380.68 / $2,274.61 / $3,439.53	Professional		$1,380.68	$2,274.61	$3,439.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,624.72 / $2,274.61 / $3,439.53	Professional		$1,624.72	$2,274.61	$3,439.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.08 / $1,402.77 / $2,310.44	Professional		$197.08	$1,402.77	$2,310.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.87 / $2,173.05 / $3,671.17	Professional		$1,545.87	$2,173.05	$3,671.17