Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.71 / $4,942.00 / $11,627.00	Facility		$1,448.71	$4,942.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.71 / $1,449.57 / $2,855.32	Professional		$1,448.71	$1,449.57	$2,855.32
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 $1,029.95 / $1,427.89 / $2,429.57	Professional		$1,029.95	$1,427.89	$2,429.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,262.98 / $1,839.05 / $2,321.64	Facility		$1,262.98	$1,839.05	$2,321.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,214.30 / $1,362.03 / $2,414.51	Professional		$1,214.30	$1,362.03	$2,414.51
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 $1,163.69 / $1,733.50 / $2,781.25	Professional		$1,163.69	$1,733.50	$2,781.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,238.58 / $1,754.50 / $2,743.67	Professional		$1,238.58	$1,754.50	$2,743.67
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 $1,307.64 / $1,748.45 / $2,532.73	Professional		$1,307.64	$1,748.45	$2,532.73