Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.70 / $5,741.48 / $11,627.00	Facility		$1,887.70	$5,741.48	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.70 / $1,905.95 / $3,681.01	Professional		$1,887.70	$1,905.95	$3,681.01
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 $1,486.00 / $1,958.02 / $3,223.92	Professional		$1,486.00	$1,958.02	$3,223.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,645.13 / $1,645.13 / $2,395.53	Facility		$1,645.13	$1,645.13	$2,395.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,774.16 / $1,774.16 / $1,926.30	Professional		$1,774.16	$1,774.16	$1,926.30
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 $1,507.10 / $2,258.02 / $3,502.26	Professional		$1,507.10	$2,258.02	$3,502.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,684.41 / $2,467.40 / $3,502.26	Professional		$1,684.41	$2,467.40	$3,502.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,461.91 / $2,257.76	Professional		$149.16	$1,461.91	$2,257.76
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 $1,706.52 / $2,288.69 / $3,590.20	Professional		$1,706.52	$2,288.69	$3,590.20