Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.96 / $5,653.12 / $11,627.00	Facility		$1,862.96	$5,653.12	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.96 / $1,862.96 / $3,671.78	Professional		$1,862.96	$1,862.96	$3,671.78
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 $1,509.49 / $2,019.18 / $3,461.16	Professional		$1,509.49	$2,019.18	$3,461.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,622.99 / $2,363.28 / $2,983.43	Facility		$1,622.99	$2,363.28	$2,983.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,750.28 / $1,762.70 / $3,102.77	Professional		$1,750.28	$1,762.70	$3,102.77
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 $1,495.69 / $2,227.62 / $3,579.68	Professional		$1,495.69	$2,227.62	$3,579.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,676.49 / $2,363.37 / $3,531.17	Professional		$1,676.49	$2,363.37	$3,531.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,437.14 / $2,212.49	Professional		$149.16	$1,437.14	$2,212.49
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 $1,700.73 / $2,233.14 / $3,612.22	Professional		$1,700.73	$2,233.14	$3,612.22