Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.04 / $5,099.00 / $11,627.00	Facility		$1,523.04	$5,099.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.04 / $1,543.64 / $2,969.93	Professional		$1,523.04	$1,543.64	$2,969.93
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 $1,141.06 / $1,595.16 / $2,678.79	Professional		$1,141.06	$1,595.16	$2,678.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.30 / $1,926.90 / $2,432.54	Facility		$1,323.30	$1,926.90	$2,432.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,427.09 / $1,502.31 / $2,529.84	Professional		$1,427.09	$1,502.31	$2,529.84
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 $1,208.41 / $1,875.18 / $2,750.97	Professional		$1,208.41	$1,875.18	$2,750.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,362.21 / $1,988.31 / $2,761.20	Professional		$1,362.21	$1,988.31	$2,761.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,199.92 / $1,830.79	Professional		$112.99	$1,199.92	$1,830.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,387.26 / $1,829.04 / $2,938.57	Professional		$1,387.26	$1,829.04	$2,938.57