Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,329.30 / $5,135.00 / $11,627.00	Facility		$1,329.30	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,329.30 / $1,329.30 / $3,190.31	Professional		$1,329.30	$1,329.30	$3,190.31
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 $1,058.59 / $1,418.96 / $2,386.53	Professional		$1,058.59	$1,418.96	$2,386.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,157.86 / $1,686.03 / $2,128.44	Facility		$1,157.86	$1,686.03	$2,128.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,248.69 / $1,318.16 / $2,213.58	Professional		$1,248.69	$1,318.16	$2,213.58
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 $1,068.81 / $1,592.77 / $2,494.94	Professional		$1,068.81	$1,592.77	$2,494.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,194.55 / $1,734.68 / $2,494.94	Professional		$1,194.55	$1,734.68	$2,494.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,101.23 / $1,614.39	Professional		$106.74	$1,101.23	$1,614.39
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 $1,225.94 / $1,605.10 / $2,564.60	Professional		$1,225.94	$1,605.10	$2,564.60