Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,879.60 / $5,701.87 / $11,627.00	Facility		$1,879.60	$5,701.87	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.60 / $1,879.60 / $3,749.02	Professional		$1,879.60	$1,879.60	$3,749.02
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 $1,466.50 / $2,081.66 / $3,345.36	Professional		$1,466.50	$2,081.66	$3,345.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,637.11 / $2,383.85 / $3,009.39	Facility		$1,637.11	$2,383.85	$3,009.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,658.63 / $1,765.51 / $3,129.77	Professional		$1,658.63	$1,765.51	$3,129.77
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 $1,508.71 / $2,247.01 / $3,634.18	Professional		$1,508.71	$2,247.01	$3,634.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,690.51 / $2,440.05 / $3,562.24	Professional		$1,690.51	$2,440.05	$3,562.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,466.72 / $2,242.53	Professional		$149.16	$1,466.72	$2,242.53
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 $1,736.51 / $2,287.16 / $3,610.56	Professional		$1,736.51	$2,287.16	$3,610.56