Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.37 / $5,135.00 / $11,627.00	Facility		$1,572.37	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,572.37 / $1,602.12 / $3,066.12	Professional		$1,572.37	$1,602.12	$3,066.12
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 $1,197.98 / $1,691.26 / $2,812.43	Professional		$1,197.98	$1,691.26	$2,812.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,372.44 / $1,998.46 / $2,522.87	Facility		$1,372.44	$1,998.46	$2,522.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,480.08 / $1,619.66 / $2,623.79	Professional		$1,480.08	$1,619.66	$2,623.79
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 $1,255.71 / $1,988.91 / $2,857.76	Professional		$1,255.71	$1,988.91	$2,857.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,412.80 / $2,065.38 / $2,968.30	Professional		$1,412.80	$2,065.38	$2,968.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,214.11 / $1,890.58	Professional		$112.99	$1,214.11	$1,890.58
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 $1,453.49 / $1,873.05 / $3,053.58	Professional		$1,453.49	$1,873.05	$3,053.58