Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.87 / $5,135.00 / $11,627.00	Facility		$1,452.87	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.87 / $1,488.35 / $3,806.52	Professional		$1,452.87	$1,488.35	$3,806.52
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 $1,029.28 / $1,613.28 / $2,612.92	Professional		$1,029.28	$1,613.28	$2,612.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,267.76 / $1,267.76 / $1,846.03	Facility		$1,267.76	$1,267.76	$1,846.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,367.19 / $1,367.19 / $1,669.83	Professional		$1,367.19	$1,367.19	$1,669.83
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 $1,148.67 / $1,858.67 / $2,738.93	Professional		$1,148.67	$1,858.67	$2,738.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,297.33 / $1,893.70 / $2,738.93	Professional		$1,297.33	$1,893.70	$2,738.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $1,278.10 / $1,814.31	Professional		$107.95	$1,278.10	$1,814.31
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 $1,332.71 / $1,696.11 / $2,683.84	Professional		$1,332.71	$1,696.11	$2,683.84