Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.72 / $4,936.00 / $11,627.00	Facility		$1,441.72	$4,936.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,441.72 / $1,446.02 / $2,811.35	Professional		$1,441.72	$1,446.02	$2,811.35
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 $1,001.27 / $1,524.25 / $2,648.97	Professional		$1,001.27	$1,524.25	$2,648.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.81 / $1,824.27 / $2,302.96	Facility		$1,252.81	$1,824.27	$2,302.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,265.44 / $1,351.08 / $2,395.10	Professional		$1,265.44	$1,351.08	$2,395.10
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 $1,154.56 / $1,719.55 / $2,691.12	Professional		$1,154.56	$1,719.55	$2,691.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,294.19 / $1,728.40 / $2,691.12	Professional		$1,294.19	$1,728.40	$2,691.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,186.60 / $1,727.42	Professional		$106.74	$1,186.60	$1,727.42
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 $1,310.49 / $1,720.09 / $2,705.53	Professional		$1,310.49	$1,720.09	$2,705.53