Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.05 / $5,756.00 / $11,627.00	Facility		$1,790.05	$5,756.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,790.05 / $1,790.05 / $3,612.53	Professional		$1,790.05	$1,790.05	$3,612.53
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 $1,460.62 / $1,985.13 / $3,368.91	Professional		$1,460.62	$1,985.13	$3,368.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,559.96 / $2,271.52 / $2,867.60	Facility		$1,559.96	$2,271.52	$2,867.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,682.32 / $1,789.79 / $2,982.29	Professional		$1,682.32	$1,789.79	$2,982.29
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 $1,437.62 / $2,141.14 / $3,442.44	Professional		$1,437.62	$2,141.14	$3,442.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,610.46 / $2,337.69 / $3,391.88	Professional		$1,610.46	$2,337.69	$3,391.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,381.56 / $2,112.14	Professional		$149.16	$1,381.56	$2,112.14
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 $1,670.10 / $2,170.34 / $3,366.71	Professional		$1,670.10	$2,170.34	$3,366.71