Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,745.31 / $6,745.00 / $11,627.00	Facility		$1,745.31	$6,745.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.31 / $1,745.31 / $3,486.05	Professional		$1,745.31	$1,745.31	$3,486.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,542.35 / $2,050.48 / $3,689.69	Professional		$1,542.35	$2,050.48	$3,689.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,667.07 / $2,000.48 / $2,476.04	Facility		$1,667.07	$2,000.48	$2,476.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,275.41 / $1,833.78 / $1,833.78	Professional		$1,275.41	$1,833.78	$1,833.78
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 $1,399.43 / $2,459.98 / $3,817.55	Professional		$1,399.43	$2,459.98	$3,817.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,567.05 / $2,549.46 / $3,752.90	Professional		$1,567.05	$2,549.46	$3,752.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $1,432.65 / $2,330.85	Professional		$194.52	$1,432.65	$2,330.85
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 $1,695.28 / $2,354.07 / $3,916.58	Professional		$1,695.28	$2,354.07	$3,916.58