Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.72 / $5,042.00 / $11,627.00	Facility		$1,464.72	$5,042.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.72 / $1,464.96 / $2,856.20	Professional		$1,464.72	$1,464.96	$2,856.20
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 $990.95 / $1,427.41 / $2,326.39	Professional		$990.95	$1,427.41	$2,326.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,277.16 / $1,859.73 / $2,347.73	Facility		$1,277.16	$1,859.73	$2,347.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,377.33 / $1,451.69 / $2,441.64	Professional		$1,377.33	$1,451.69	$2,441.64
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 $1,175.25 / $1,752.97 / $2,696.11	Professional		$1,175.25	$1,752.97	$2,696.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,313.51 / $1,911.95 / $2,696.11	Professional		$1,313.51	$1,911.95	$2,696.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,211.25 / $1,769.59	Professional		$106.74	$1,211.25	$1,769.59
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 $1,321.00 / $1,738.16 / $2,557.88	Professional		$1,321.00	$1,738.16	$2,557.88