Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,085.23 / $7,155.00 / $11,627.00	Facility		$2,085.23	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,085.23 / $2,085.23 / $4,114.10	Professional		$2,085.23	$2,085.23	$4,114.10
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 $1,677.60 / $2,213.11 / $3,639.60	Professional		$1,677.60	$2,213.11	$3,639.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,815.14 / $2,643.09 / $3,336.66	Facility		$1,815.14	$2,643.09	$3,336.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,957.51 / $2,086.19 / $3,470.13	Professional		$1,957.51	$2,086.19	$3,470.13
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 $1,672.77 / $2,500.69 / $3,953.83	Professional		$1,672.77	$2,500.69	$3,953.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,876.10 / $2,722.49 / $3,953.83	Professional		$1,876.10	$2,722.49	$3,953.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,827.59 / $2,565.46	Professional		$184.79	$1,827.59	$2,565.46
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 $1,923.63 / $2,518.56 / $3,934.39	Professional		$1,923.63	$2,518.56	$3,934.39