Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.43 / $5,793.00 / $11,627.00	Facility		$1,623.43	$5,793.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.43 / $1,623.43 / $3,338.62	Professional		$1,623.43	$1,623.43	$3,338.62
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 $1,378.31 / $1,927.37 / $3,229.20	Professional		$1,378.31	$1,927.37	$3,229.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,550.33 / $1,860.40 / $2,302.64	Facility		$1,550.33	$1,860.40	$2,302.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,705.36 / $1,705.36 / $1,751.43	Professional		$1,705.36	$1,705.36	$1,751.43
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 $1,367.95 / $2,186.90 / $3,327.23	Professional		$1,367.95	$2,186.90	$3,327.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,441.65 / $2,379.76 / $3,317.71	Professional		$1,441.65	$2,379.76	$3,317.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $1,303.29 / $2,113.96	Professional		$194.52	$1,303.29	$2,113.96
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 $1,462.03 / $2,065.41 / $3,567.32	Professional		$1,462.03	$2,065.41	$3,567.32