Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,551.20 / $6,582.00 / $11,627.00	Facility		$1,551.20	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.64 / $1,551.20 / $4,064.14	Professional		$1,355.64	$1,551.20	$4,064.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.66 / $1,691.38 / $2,825.61	Professional		$1,167.66	$1,691.38	$2,825.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,353.22 / $1,353.22 / $1,970.46	Facility		$1,353.22	$1,353.22	$1,970.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,459.35 / $1,459.35 / $1,751.73	Professional		$1,459.35	$1,459.35	$1,751.73
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 $1,281.83 / $2,022.72 / $2,937.51	Professional		$1,281.83	$2,022.72	$2,937.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,386.67 / $2,056.35 / $3,009.95	Professional		$1,386.67	$2,056.35	$3,009.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,219.54 / $1,870.89	Professional		$112.99	$1,219.54	$1,870.89
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 $1,433.43 / $1,840.36 / $3,122.81	Professional		$1,433.43	$1,840.36	$3,122.81