Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.92 / $5,135.00 / $11,627.00	Facility		$1,678.92	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.92 / $1,678.92 / $3,361.79	Professional		$1,678.92	$1,678.92	$3,361.79
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 $1,365.72 / $1,860.07 / $3,054.92	Professional		$1,365.72	$1,860.07	$3,054.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,461.70 / $2,128.42 / $2,686.94	Facility		$1,461.70	$2,128.42	$2,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,576.33 / $1,714.54 / $2,794.41	Professional		$1,576.33	$1,714.54	$2,794.41
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 $1,347.05 / $2,006.24 / $3,218.80	Professional		$1,347.05	$2,006.24	$3,218.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,509.11 / $2,192.44 / $3,178.11	Professional		$1,509.11	$2,192.44	$3,178.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $1,292.57 / $1,975.60	Professional		$117.78	$1,292.57	$1,975.60
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 $1,541.30 / $2,028.40 / $3,154.82	Professional		$1,541.30	$2,028.40	$3,154.82