Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.18 / $4,766.00 / $11,627.00	Facility		$1,235.18	$4,766.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.18 / $1,235.18 / $2,477.48	Professional		$1,235.18	$1,235.18	$2,477.48
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 $1,017.29 / $1,320.07 / $2,110.79	Professional		$1,017.29	$1,320.07	$2,110.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.08 / $1,566.92 / $1,978.10	Facility		$1,076.08	$1,566.92	$1,978.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,044.83 / $1,160.48 / $2,057.21	Professional		$1,044.83	$1,160.48	$2,057.21
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 $992.41 / $1,476.98 / $2,397.60	Professional		$992.41	$1,476.98	$2,397.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,110.31 / $1,612.72 / $2,340.71	Professional		$1,110.31	$1,612.72	$2,340.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $1,128.63 / $1,541.26	Professional		$92.00	$1,128.63	$1,541.26
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 $1,147.54 / $1,468.40 / $2,371.37	Professional		$1,147.54	$1,468.40	$2,371.37