Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.22 / $5,135.00 / $11,627.00	Facility		$1,639.22	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,639.22 / $1,654.52 / $3,196.48	Professional		$1,639.22	$1,654.52	$3,196.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,638.88 / $7,944.89 / $15,216.00	Facility		$3,638.88	$7,944.89	$15,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.96 / $1,441.51 / $2,326.40	Professional		$1,008.96	$1,441.51	$2,326.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,287.20 / $1,874.33 / $2,366.17	Facility		$1,287.20	$1,874.33	$2,366.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,232.93 / $1,388.16 / $2,460.83	Professional		$1,232.93	$1,388.16	$2,460.83
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 $1,051.67 / $1,772.83 / $2,948.36	Professional		$1,051.67	$1,772.83	$2,948.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,261.96 / $1,941.19 / $2,823.89	Professional		$1,261.96	$1,941.19	$2,823.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,228.31 / $1,790.95	Professional		$106.74	$1,228.31	$1,790.95
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 $1,446.83 / $1,905.16 / $2,850.23	Professional		$1,446.83	$1,905.16	$2,850.23