Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.58 / $4,723.00 / $11,627.00	Facility		$1,286.58	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.58 / $1,286.58 / $2,470.23	Professional		$1,286.58	$1,286.58	$2,470.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,129.00 / $14,299.15 / $25,723.30	Facility		$5,129.00	$14,299.15	$25,723.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,011.77 / $1,375.58 / $2,458.38	Professional		$1,011.77	$1,375.58	$2,458.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,246.79 / $1,496.15 / $2,337.73	Facility		$1,246.79	$1,496.15	$2,337.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,371.47 / $1,371.47 / $2,431.25	Professional		$1,371.47	$1,371.47	$2,431.25
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 $1,134.08 / $1,745.51 / $2,608.09	Professional		$1,134.08	$1,745.51	$2,608.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,246.79 / $1,753.15 / $2,605.10	Professional		$1,246.79	$1,753.15	$2,605.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $1,033.65 / $1,709.30	Professional		$159.46	$1,033.65	$1,709.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,168.78 / $1,654.80 / $2,776.51	Professional		$1,168.78	$1,654.80	$2,776.51