Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.90 / $5,123.00 / $11,627.00	Facility		$1,624.90	$5,123.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,624.90 / $1,624.90 / $3,252.41	Professional		$1,624.90	$1,624.90	$3,252.41
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 $1,389.97 / $1,830.81 / $2,992.06	Professional		$1,389.97	$1,830.81	$2,992.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,414.72 / $2,060.02 / $2,210.51	Facility		$1,414.72	$2,060.02	$2,210.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,525.68 / $1,753.31 / $2,704.61	Professional		$1,525.68	$1,753.31	$2,704.61
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 $1,338.37 / $1,958.08 / $3,065.08	Professional		$1,338.37	$1,958.08	$3,065.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,459.83 / $2,035.25 / $2,953.75	Professional		$1,459.83	$2,035.25	$2,953.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $1,254.57 / $1,917.48	Professional		$117.78	$1,254.57	$1,917.48
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 $1,498.29 / $2,006.88 / $3,117.88	Professional		$1,498.29	$2,006.88	$3,117.88