Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.82 / $5,135.00 / $11,627.00	Facility		$1,420.82	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.82 / $1,420.82 / $2,951.45	Professional		$1,420.82	$1,420.82	$2,951.45
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 $1,255.08 / $1,712.27 / $2,987.57	Professional		$1,255.08	$1,712.27	$2,987.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,357.80 / $1,629.36 / $2,016.69	Facility		$1,357.80	$1,629.36	$2,016.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,493.58 / $1,493.58 / $1,534.36	Professional		$1,493.58	$1,493.58	$1,534.36
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 $1,276.31 / $1,964.66 / $2,941.38	Professional		$1,276.31	$1,964.66	$2,941.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,371.38 / $2,084.23 / $2,872.71	Professional		$1,371.38	$2,084.23	$2,872.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $1,156.31 / $1,854.28	Professional		$194.52	$1,156.31	$1,854.28
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 $1,306.58 / $1,807.64 / $3,196.84	Professional		$1,306.58	$1,807.64	$3,196.84