Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.80 / $4,723.00 / $11,627.00	Facility		$1,379.80	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.80 / $1,407.48 / $2,690.61	Professional		$1,379.80	$1,407.48	$2,690.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.98 / $1,455.47 / $2,406.29	Professional		$1,024.98	$1,455.47	$2,406.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,205.44 / $1,755.28 / $2,215.88	Facility		$1,205.44	$1,755.28	$2,215.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,299.98 / $1,419.48 / $2,304.51	Professional		$1,299.98	$1,419.48	$2,304.51
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 $1,101.18 / $1,688.28 / $2,506.69	Professional		$1,101.18	$1,688.28	$2,506.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,240.89 / $1,782.27 / $2,422.02	Professional		$1,240.89	$1,782.27	$2,422.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $1,212.03 / $1,703.27	Professional		$107.95	$1,212.03	$1,703.27
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 $1,230.73 / $1,626.51 / $2,572.88	Professional		$1,230.73	$1,626.51	$2,572.88