Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.03 / $4,825.00 / $11,627.00	Facility		$1,255.03	$4,825.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.03 / $1,256.24 / $2,500.76	Professional		$1,255.03	$1,256.24	$2,500.76
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 $1,032.10 / $1,396.38 / $2,298.89	Professional		$1,032.10	$1,396.38	$2,298.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,093.33 / $1,592.05 / $2,009.82	Facility		$1,093.33	$1,592.05	$2,009.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,179.08 / $1,289.59 / $2,090.21	Professional		$1,179.08	$1,289.59	$2,090.21
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 $1,006.14 / $1,604.46 / $2,432.53	Professional		$1,006.14	$1,604.46	$2,432.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,125.50 / $1,645.37 / $2,373.65	Professional		$1,125.50	$1,645.37	$2,373.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $1,054.96 / $1,527.78	Professional		$90.57	$1,054.96	$1,527.78
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 $1,155.23 / $1,523.93 / $2,488.57	Professional		$1,155.23	$1,523.93	$2,488.57