Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.75 / $6,350.00 / $11,627.00	Facility		$1,767.75	$6,350.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.75 / $1,767.75 / $3,651.52	Professional		$1,767.75	$1,767.75	$3,651.52
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 $1,550.30 / $2,075.52 / $3,677.29	Professional		$1,550.30	$2,075.52	$3,677.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,688.79 / $2,026.55 / $2,508.30	Facility		$1,688.79	$2,026.55	$2,508.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,857.67 / $1,857.67 / $1,859.96	Professional		$1,857.67	$1,857.67	$1,859.96
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 $1,505.16 / $2,364.31 / $3,722.20	Professional		$1,505.16	$2,364.31	$3,722.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,569.57 / $2,592.30 / $3,614.02	Professional		$1,569.57	$2,592.30	$3,614.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $1,446.95 / $2,361.16	Professional		$194.52	$1,446.95	$2,361.16
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 $1,620.90 / $2,248.09 / $3,955.31	Professional		$1,620.90	$2,248.09	$3,955.31