Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.96 / $5,135.00 / $11,627.00	Facility		$1,583.96	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.96 / $1,583.96 / $3,149.58	Professional		$1,583.96	$1,583.96	$3,149.58
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 $1,104.54 / $1,677.04 / $2,647.25	Professional		$1,104.54	$1,677.04	$2,647.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,379.51 / $2,008.75 / $2,535.87	Facility		$1,379.51	$2,008.75	$2,535.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,337.17 / $1,487.71 / $2,637.30	Professional		$1,337.17	$1,487.71	$2,637.30
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 $1,155.60 / $1,893.44 / $3,062.63	Professional		$1,155.60	$1,893.44	$3,062.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,273.27 / $1,909.86 / $2,998.99	Professional		$1,273.27	$1,909.86	$2,998.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $1,337.22 / $1,945.15	Professional		$111.22	$1,337.22	$1,945.15
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 $1,458.85 / $1,881.63 / $3,039.36	Professional		$1,458.85	$1,881.63	$3,039.36