Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.50 / $5,595.00 / $11,627.00	Facility		$1,505.50	$5,595.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.50 / $1,533.61 / $2,935.73	Professional		$1,505.50	$1,533.61	$2,935.73
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 $1,030.44 / $1,406.24 / $2,353.76	Professional		$1,030.44	$1,406.24	$2,353.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,315.09 / $1,315.09 / $1,914.96	Facility		$1,315.09	$1,315.09	$1,914.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,387.11 / $1,418.24 / $1,418.24	Professional		$1,387.11	$1,418.24	$1,418.24
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 $1,207.36 / $1,805.04 / $2,742.45	Professional		$1,207.36	$1,805.04	$2,742.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,349.42 / $1,855.25 / $2,533.94	Professional		$1,349.42	$1,855.25	$2,533.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,168.11 / $1,808.48	Professional		$112.99	$1,168.11	$1,808.48
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 $1,343.45 / $1,730.72 / $2,820.99	Professional		$1,343.45	$1,730.72	$2,820.99