Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.87 / $6,792.00 / $11,627.00	Facility		$1,749.87	$6,792.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.87 / $1,749.87 / $3,606.05	Professional		$1,749.87	$1,749.87	$3,606.05
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 $1,530.45 / $2,155.64 / $3,591.68	Professional		$1,530.45	$2,155.64	$3,591.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,671.46 / $2,005.75 / $2,482.55	Facility		$1,671.46	$2,005.75	$2,482.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,838.61 / $1,838.61 / $1,844.68	Professional		$1,838.61	$1,838.61	$1,844.68
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 $1,554.19 / $2,398.34 / $3,633.23	Professional		$1,554.19	$2,398.34	$3,633.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,671.46 / $2,565.69 / $3,541.66	Professional		$1,671.46	$2,565.69	$3,541.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $1,432.65 / $2,330.85	Professional		$194.52	$1,432.65	$2,330.85
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 $1,622.31 / $2,227.02 / $3,916.56	Professional		$1,622.31	$2,227.02	$3,916.56