Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.69 / $4,979.00 / $11,627.00	Facility		$1,459.69	$4,979.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.69 / $1,459.72 / $2,868.04	Professional		$1,459.69	$1,459.72	$2,868.04
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 $1,009.97 / $1,433.93 / $2,420.56	Professional		$1,009.97	$1,433.93	$2,420.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,851.97 / $2,337.94	Facility		$1,271.83	$1,851.97	$2,337.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,222.66 / $1,371.59 / $2,431.46	Professional		$1,222.66	$1,371.59	$2,431.46
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 $1,133.17 / $1,745.66 / $2,800.38	Professional		$1,133.17	$1,745.66	$2,800.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,225.65 / $1,759.76 / $2,763.12	Professional		$1,225.65	$1,759.76	$2,763.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,190.88 / $1,732.94	Professional		$106.74	$1,190.88	$1,732.94
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 $1,328.44 / $1,771.20 / $2,798.30	Professional		$1,328.44	$1,771.20	$2,798.30