Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,828.12 / $6,582.00 / $11,627.00	Facility		$1,828.12	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,827.32 / $1,828.12 / $3,696.00	Professional		$1,827.32	$1,828.12	$3,696.00
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 $1,449.48 / $1,892.86 / $3,402.88	Professional		$1,449.48	$1,892.86	$3,402.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,592.69 / $1,592.69 / $2,319.17	Facility		$1,592.69	$1,592.69	$2,319.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,589.92 / $1,717.61 / $1,717.61	Professional		$1,589.92	$1,717.61	$1,717.61
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 $1,467.77 / $2,186.04 / $3,416.22	Professional		$1,467.77	$2,186.04	$3,416.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,645.54 / $2,388.17 / $3,416.22	Professional		$1,645.54	$2,388.17	$3,416.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,424.56 / $2,167.39	Professional		$149.16	$1,424.56	$2,167.39
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 $1,688.03 / $2,240.17 / $3,514.53	Professional		$1,688.03	$2,240.17	$3,514.53