Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.43 / $5,399.52 / $11,627.00	Facility		$1,763.43	$5,399.52	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,763.43 / $1,795.90 / $3,438.69	Professional		$1,763.43	$1,795.90	$3,438.69
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 $1,287.33 / $1,774.20 / $3,022.18	Professional		$1,287.33	$1,774.20	$3,022.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,541.12 / $1,541.12 / $2,244.08	Facility		$1,541.12	$1,541.12	$2,244.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,612.97 / $1,661.99 / $1,661.99	Professional		$1,612.97	$1,661.99	$1,661.99
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 $1,411.53 / $2,115.26 / $3,206.53	Professional		$1,411.53	$2,115.26	$3,206.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,586.45 / $2,294.82 / $3,108.55	Professional		$1,586.45	$2,294.82	$3,108.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,381.26 / $2,128.11	Professional		$116.32	$1,381.26	$2,128.11
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 $1,633.07 / $2,060.02 / $3,298.01	Professional		$1,633.07	$2,060.02	$3,298.01