Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.74 / $4,723.00 / $11,627.00	Facility		$1,300.74	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.74 / $1,326.17 / $2,536.44	Professional		$1,300.74	$1,326.17	$2,536.44
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 $1,009.03 / $1,476.73 / $2,455.54	Professional		$1,009.03	$1,476.73	$2,455.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,137.04 / $1,137.04 / $1,655.68	Facility		$1,137.04	$1,137.04	$1,655.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,226.21 / $1,226.21 / $1,584.41	Professional		$1,226.21	$1,226.21	$1,584.41
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 $1,087.33 / $1,706.38 / $2,378.13	Professional		$1,087.33	$1,706.38	$2,378.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,170.47 / $1,727.84 / $2,463.36	Professional		$1,170.47	$1,727.84	$2,463.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $1,004.51 / $1,571.65	Professional		$75.93	$1,004.51	$1,571.65
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 $1,189.55 / $1,549.15 / $2,478.64	Professional		$1,189.55	$1,549.15	$2,478.64