Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.55 / $5,548.00 / $11,627.00	Facility		$1,496.55	$5,548.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.99 / $1,496.55 / $2,791.30	Professional		$1,326.99	$1,496.55	$2,791.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.83 / $1,559.82 / $2,600.79	Professional		$1,107.83	$1,559.82	$2,600.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,307.54 / $1,307.54 / $1,903.96	Facility		$1,307.54	$1,307.54	$1,903.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,410.09 / $1,410.09 / $1,442.72	Professional		$1,410.09	$1,410.09	$1,442.72
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 $1,195.22 / $1,794.66 / $2,716.89	Professional		$1,195.22	$1,794.66	$2,716.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,345.99 / $1,957.02 / $2,649.78	Professional		$1,345.99	$1,957.02	$2,649.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $1,311.54 / $1,865.58	Professional		$107.95	$1,311.54	$1,865.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.17 / $1,769.36 / $2,853.96	Professional		$1,384.17	$1,769.36	$2,853.96