Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.62 / $5,175.00 / $11,627.00	Facility		$1,451.62	$5,175.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.62 / $1,451.62 / $2,941.73	Professional		$1,451.62	$1,451.62	$2,941.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,233.75 / $1,608.52 / $2,781.68	Professional		$1,233.75	$1,608.52	$2,781.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,387.99 / $1,518.64 / $2,602.48	Facility		$1,387.99	$1,518.64	$2,602.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,706.59 / $2,706.59 / $2,706.59	Professional		$2,706.59	$2,706.59	$2,706.59
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 $1,166.92 / $1,952.95 / $2,970.30	Professional		$1,166.92	$1,952.95	$2,970.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,281.77 / $2,108.41 / $2,970.30	Professional		$1,281.77	$2,108.41	$2,970.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.73 / $1,150.02 / $1,901.47	Professional		$191.73	$1,150.02	$1,901.47
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 $1,307.69 / $1,916.36 / $3,230.05	Professional		$1,307.69	$1,916.36	$3,230.05