Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.95 / $5,381.00 / $11,627.00	Facility		$1,308.95	$5,381.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.95 / $1,308.95 / $2,648.52	Professional		$1,308.95	$1,308.95	$2,648.52
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 $1,133.11 / $1,600.84 / $2,640.75	Professional		$1,133.11	$1,600.84	$2,640.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,250.59 / $1,500.72 / $1,857.47	Facility		$1,250.59	$1,500.72	$1,857.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,375.66 / $1,375.66 / $1,468.84	Professional		$1,375.66	$1,375.66	$1,468.84
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 $1,248.88 / $1,872.26 / $2,676.29	Professional		$1,248.88	$1,872.26	$2,676.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,278.00 / $1,898.25 / $2,798.55	Professional		$1,278.00	$1,898.25	$2,798.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $1,080.43 / $1,751.33	Professional		$151.81	$1,080.43	$1,751.33
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 $1,187.77 / $1,684.49 / $2,929.29	Professional		$1,187.77	$1,684.49	$2,929.29