Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,447.41 / $5,105.00 / $11,627.00	Facility		$1,447.41	$5,105.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.29 / $1,447.41 / $2,878.59	Professional		$1,427.29	$1,447.41	$2,878.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $12,455.21 / $21,287.94	Facility		$4,142.00	$12,455.21	$21,287.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.91 / $1,675.81 / $2,816.67	Professional		$1,197.91	$1,675.81	$2,816.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,372.74 / $1,647.29 / $2,573.90	Facility		$1,372.74	$1,647.29	$2,573.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,510.01 / $1,628.55 / $2,676.84	Professional		$1,510.01	$1,628.55	$2,676.84
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 $1,162.90 / $1,921.83 / $2,962.22	Professional		$1,162.90	$1,921.83	$2,962.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,361.62 / $2,087.16 / $2,862.03	Professional		$1,361.62	$2,087.16	$2,862.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,427.41 / $2,033.83	Professional		$115.97	$1,427.41	$2,033.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.78 / $1,886.06 / $3,246.03	Professional		$1,405.78	$1,886.06	$3,246.03