Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,852.38 / $5,618.24 / $11,627.00	Facility		$1,852.38	$5,618.24	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,851.38 / $1,852.38 / $3,658.37	Professional		$1,851.38	$1,852.38	$3,658.37
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 $1,286.89 / $1,816.14 / $3,084.25	Professional		$1,286.89	$1,816.14	$3,084.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,613.15 / $1,613.15 / $2,348.96	Facility		$1,613.15	$1,613.15	$2,348.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,557.92 / $1,739.67 / $1,739.67	Professional		$1,557.92	$1,739.67	$1,739.67
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 $1,392.95 / $2,214.12 / $3,568.23	Professional		$1,392.95	$2,214.12	$3,568.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,581.52 / $2,223.38 / $3,568.23	Professional		$1,581.52	$2,223.38	$3,568.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,437.14 / $2,212.49	Professional		$149.16	$1,437.14	$2,212.49
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 $1,757.29 / $2,318.81 / $3,594.74	Professional		$1,757.29	$2,318.81	$3,594.74