Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,598.31 / $5,135.00 / $11,627.00	Facility		$1,598.31	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.31 / $1,613.96 / $3,222.25	Professional		$1,598.31	$1,613.96	$3,222.25
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 $1,265.33 / $1,667.26 / $2,700.94	Professional		$1,265.33	$1,667.26	$2,700.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,384.52 / $2,016.06 / $2,545.10	Facility		$1,384.52	$2,016.06	$2,545.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,493.12 / $1,494.22 / $2,646.89	Professional		$1,493.12	$1,494.22	$2,646.89
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 $1,275.94 / $1,900.33 / $2,982.21	Professional		$1,275.94	$1,900.33	$2,982.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,435.85 / $2,083.58 / $2,982.21	Professional		$1,435.85	$2,083.58	$2,982.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,242.20 / $1,900.42	Professional		$112.99	$1,242.20	$1,900.42
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 $1,478.34 / $1,905.08 / $3,066.67	Professional		$1,478.34	$1,905.08	$3,066.67