Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.93 / $5,135.00 / $11,627.00	Facility		$1,664.93	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,664.93 / $1,664.93 / $3,309.31	Professional		$1,664.93	$1,664.93	$3,309.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.99 / $1,839.76 / $3,845.65	Facility		$870.99	$1,839.76	$3,845.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,171.10 / $1,687.69 / $2,786.24	Professional		$1,171.10	$1,687.69	$2,786.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,449.18 / $1,449.18 / $2,110.21	Facility		$1,449.18	$1,449.18	$2,110.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,402.16 / $1,562.85 / $1,562.85	Professional		$1,402.16	$1,562.85	$1,562.85
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 $1,335.52 / $1,989.08 / $3,211.54	Professional		$1,335.52	$1,989.08	$3,211.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,430.41 / $1,994.77 / $3,153.71	Professional		$1,430.41	$1,994.77	$3,153.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $1,286.27 / $1,969.83	Professional		$117.78	$1,286.27	$1,969.83
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 $1,532.83 / $2,040.77 / $3,233.11	Professional		$1,532.83	$2,040.77	$3,233.11