Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.05 / $6,582.00 / $11,627.00	Facility		$1,356.05	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,356.05 / $1,356.05 / $2,734.68	Professional		$1,356.05	$1,356.05	$2,734.68
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 $1,127.71 / $1,525.72 / $2,684.40	Professional		$1,127.71	$1,525.72	$2,684.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,296.06 / $1,555.27 / $1,924.98	Facility		$1,296.06	$1,555.27	$1,924.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,420.80 / $1,425.67 / $1,425.67	Professional		$1,420.80	$1,425.67	$1,425.67
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 $1,278.00 / $1,814.49 / $2,773.58	Professional		$1,278.00	$1,814.49	$2,773.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,309.02 / $1,960.01 / $2,733.18	Professional		$1,309.02	$1,960.01	$2,733.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $1,106.21 / $1,803.00	Professional		$157.63	$1,106.21	$1,803.00
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 $1,216.00 / $1,749.68 / $3,068.43	Professional		$1,216.00	$1,749.68	$3,068.43