Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.19 / $4,806.00 / $11,627.00	Facility		$1,404.19	$4,806.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.19 / $1,404.19 / $2,762.18	Professional		$1,404.19	$1,404.19	$2,762.18
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 $1,027.23 / $1,458.65 / $2,459.31	Professional		$1,027.23	$1,458.65	$2,459.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,224.31 / $1,782.75 / $2,250.57	Facility		$1,224.31	$1,782.75	$2,250.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,320.33 / $1,456.67 / $2,340.59	Professional		$1,320.33	$1,456.67	$2,340.59
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 $1,128.29 / $1,693.96 / $2,639.16	Professional		$1,128.29	$1,693.96	$2,639.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,262.79 / $1,834.47 / $2,639.16	Professional		$1,262.79	$1,834.47	$2,639.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,156.06 / $1,684.09	Professional		$106.74	$1,156.06	$1,684.09
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 $1,279.41 / $1,662.86 / $2,639.89	Professional		$1,279.41	$1,662.86	$2,639.89