Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.99 / $5,135.00 / $11,627.00	Facility		$1,258.99	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.99 / $1,259.06 / $2,525.13	Professional		$1,258.99	$1,259.06	$2,525.13
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 $1,027.50 / $1,400.00 / $2,412.21	Professional		$1,027.50	$1,400.00	$2,412.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,098.09 / $1,598.99 / $2,018.57	Facility		$1,098.09	$1,598.99	$2,018.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,184.23 / $1,271.89 / $2,099.31	Professional		$1,184.23	$1,271.89	$2,099.31
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 $1,011.98 / $1,507.20 / $2,421.65	Professional		$1,011.98	$1,507.20	$2,421.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,131.89 / $1,591.96 / $2,385.42	Professional		$1,131.89	$1,591.96	$2,385.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $1,048.91 / $1,528.61	Professional		$91.63	$1,048.91	$1,528.61
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 $1,169.60 / $1,556.05 / $2,399.29	Professional		$1,169.60	$1,556.05	$2,399.29