Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.23 / $5,135.00 / $11,627.00	Facility		$1,289.23	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.23 / $1,289.23 / $2,514.00	Professional		$1,289.23	$1,289.23	$2,514.00
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 $1,030.73 / $1,376.68 / $2,318.13	Professional		$1,030.73	$1,376.68	$2,318.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,123.38 / $1,635.79 / $2,065.04	Facility		$1,123.38	$1,635.79	$2,065.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.49 / $1,280.11 / $2,147.64	Professional		$1,211.49	$1,280.11	$2,147.64
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 $1,048.02 / $1,546.63 / $2,429.27	Professional		$1,048.02	$1,546.63	$2,429.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,202.82 / $1,683.65 / $2,429.27	Professional		$1,202.82	$1,683.65	$2,429.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $1,078.97 / $1,572.56	Professional		$91.63	$1,078.97	$1,572.56
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 $1,213.01 / $1,574.18 / $2,514.51	Professional		$1,213.01	$1,574.18	$2,514.51