Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.66 / $6,582.00 / $11,627.00	Facility		$1,542.66	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.66 / $1,561.09 / $4,041.77	Professional		$1,542.66	$1,561.09	$4,041.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.79 / $1,718.74 / $2,952.27	Professional		$1,123.79	$1,718.74	$2,952.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,345.49 / $1,345.49 / $1,959.20	Facility		$1,345.49	$1,345.49	$1,959.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,451.01 / $1,451.01 / $1,466.73	Professional		$1,451.01	$1,451.01	$1,466.73
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 $1,289.09 / $2,012.41 / $2,923.20	Professional		$1,289.09	$2,012.41	$2,923.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,380.69 / $2,044.60 / $2,989.11	Professional		$1,380.69	$2,044.60	$2,989.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,204.84 / $1,841.99	Professional		$112.99	$1,204.84	$1,841.99
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 $1,394.83 / $1,803.10 / $2,856.30	Professional		$1,394.83	$1,803.10	$2,856.30