Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.87 / $6,582.00 / $11,627.00	Facility		$1,452.87	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.87 / $1,471.28 / $3,806.52	Professional		$1,452.87	$1,471.28	$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 $1,065.01 / $1,566.18 / $2,618.79	Professional		$1,065.01	$1,566.18	$2,618.79
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 / $1,603.65	Professional		$1,367.19	$1,367.19	$1,603.65
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 $1,152.49 / $1,884.31 / $2,749.97	Professional		$1,152.49	$1,884.31	$2,749.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,297.33 / $1,904.18 / $2,615.46	Professional		$1,297.33	$1,904.18	$2,615.46
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 $1,319.87 / $1,696.11 / $2,586.89	Professional		$1,319.87	$1,696.11	$2,586.89