Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,378.51 / $4,858.00 / $11,627.00	Facility		$1,378.51	$4,858.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.51 / $1,378.51 / $2,747.07	Professional		$1,378.51	$1,378.51	$2,747.07
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 $1,200.24 / $1,708.85 / $2,831.39	Professional		$1,200.24	$1,708.85	$2,831.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,316.53 / $1,579.84 / $1,955.38	Facility		$1,316.53	$1,579.84	$1,955.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,448.18 / $1,448.18 / $1,546.07	Professional		$1,448.18	$1,448.18	$1,546.07
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 / $1,966.09 / $2,817.38	Professional		$1,278.00	$1,966.09	$2,817.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,329.70 / $1,986.67 / $2,830.01	Professional		$1,329.70	$1,986.67	$2,830.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $1,133.29 / $1,833.51	Professional		$157.63	$1,133.29	$1,833.51
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 $1,246.14 / $1,753.99 / $3,075.59	Professional		$1,246.14	$1,753.99	$3,075.59