Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.27 / $5,413.00 / $12,615.00	Facility		$1,215.27	$5,413.00	$12,615.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.27 / $1,215.27 / $2,459.83	Professional		$1,215.27	$1,215.27	$2,459.83
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 $1,027.84 / $1,429.52 / $2,398.32	Professional		$1,027.84	$1,429.52	$2,398.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,162.32 / $1,394.78 / $1,726.35	Facility		$1,162.32	$1,394.78	$1,726.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,259.24 / $1,278.55 / $1,278.55	Professional		$1,259.24	$1,278.55	$1,278.55
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 $1,043.57 / $1,636.76 / $2,487.36	Professional		$1,043.57	$1,636.76	$2,487.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,092.58 / $1,763.02 / $2,487.36	Professional		$1,092.58	$1,763.02	$2,487.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $996.53 / $1,588.71	Professional		$151.81	$996.53	$1,588.71
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 $1,100.40 / $1,606.44 / $2,709.27	Professional		$1,100.40	$1,606.44	$2,709.27