Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.17 / $5,135.00 / $11,627.00	Facility		$1,594.17	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,594.17 / $1,623.66 / $3,108.63	Professional		$1,594.17	$1,623.66	$3,108.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,080.00 / $18,079.91 / $32,660.00	Facility		$6,080.00	$18,079.91	$32,660.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.58 / $1,556.34 / $2,557.01	Professional		$1,157.58	$1,556.34	$2,557.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,392.67 / $1,392.67 / $2,027.94	Facility		$1,392.67	$1,392.67	$2,027.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,336.67 / $1,501.91 / $1,501.91	Professional		$1,336.67	$1,501.91	$1,501.91
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 $1,273.71 / $1,909.33 / $2,895.56	Professional		$1,273.71	$1,909.33	$2,895.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,425.95 / $2,081.67 / $2,816.85	Professional		$1,425.95	$2,081.67	$2,816.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,242.86 / $1,911.89	Professional		$112.99	$1,242.86	$1,911.89
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 $1,444.09 / $1,887.84 / $2,772.19	Professional		$1,444.09	$1,887.84	$2,772.19