Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.27 / $4,918.00 / $11,627.00	Facility		$1,342.27	$4,918.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.27 / $1,342.27 / $2,792.11	Professional		$1,342.27	$1,342.27	$2,792.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $7,949.51 / $14,996.00	Facility		$3,315.00	$7,949.51	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.33 / $1,526.21 / $2,662.08	Professional		$1,118.33	$1,526.21	$2,662.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,376.89 / $1,652.27 / $2,045.04	Facility		$1,376.89	$1,652.27	$2,045.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.01 / $1,514.58 / $1,514.58	Professional		$1,211.01	$1,514.58	$1,514.58
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 $1,081.15 / $1,916.51 / $2,915.21	Professional		$1,081.15	$1,916.51	$2,915.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,236.43 / $1,942.95 / $2,915.21	Professional		$1,236.43	$1,942.95	$2,915.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $1,172.86 / $1,924.47	Professional		$157.63	$1,172.86	$1,924.47
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 $1,252.01 / $1,789.26 / $3,178.34	Professional		$1,252.01	$1,789.26	$3,178.34