Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.85 / $5,135.00 / $11,627.00	Facility		$1,353.85	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,353.85 / $1,354.65 / $2,655.12	Professional		$1,353.85	$1,354.65	$2,655.12
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 $1,097.66 / $1,485.07 / $2,544.31	Professional		$1,097.66	$1,485.07	$2,544.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,179.53 / $1,717.56 / $2,168.25	Facility		$1,179.53	$1,717.56	$2,168.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,265.20 / $1,272.04 / $2,254.98	Professional		$1,265.20	$1,272.04	$2,254.98
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 $1,086.48 / $1,618.95 / $2,587.03	Professional		$1,086.48	$1,618.95	$2,587.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,214.31 / $1,702.72 / $2,560.96	Professional		$1,214.31	$1,702.72	$2,560.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,124.16 / $1,629.29	Professional		$106.74	$1,124.16	$1,629.29
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 $1,229.82 / $1,606.89 / $2,587.88	Professional		$1,229.82	$1,606.89	$2,587.88