Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.32 / $5,878.00 / $11,627.00	Facility		$1,711.32	$5,878.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.32 / $1,742.09 / $3,337.07	Professional		$1,711.32	$1,742.09	$3,337.07
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 $1,310.04 / $1,741.31 / $2,842.18	Professional		$1,310.04	$1,741.31	$2,842.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,494.53 / $2,176.23 / $2,747.30	Facility		$1,494.53	$2,176.23	$2,747.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,522.61 / $1,611.74 / $2,857.19	Professional		$1,522.61	$1,611.74	$2,857.19
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 $1,370.94 / $2,051.31 / $3,113.06	Professional		$1,370.94	$2,051.31	$3,113.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,538.48 / $2,239.52 / $3,087.60	Professional		$1,538.48	$2,239.52	$3,087.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,332.67 / $2,042.37	Professional		$116.32	$1,332.67	$2,042.37
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 $1,552.78 / $1,961.40 / $3,064.00	Professional		$1,552.78	$1,961.40	$3,064.00