Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,453.74 / $5,828.00 / $11,627.00	Facility		$1,453.74	$5,828.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,434.92 / $1,453.74 / $2,896.61	Professional		$1,434.92	$1,453.74	$2,896.61
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 $1,201.68 / $1,661.07 / $2,826.74	Professional		$1,201.68	$1,661.07	$2,826.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,378.37 / $1,654.04 / $2,196.78	Facility		$1,378.37	$1,654.04	$2,196.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,516.21 / $1,652.28 / $2,687.82	Professional		$1,516.21	$1,652.28	$2,687.82
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 $1,167.95 / $1,931.28 / $2,980.78	Professional		$1,167.95	$1,931.28	$2,980.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,378.37 / $2,096.25 / $2,879.96	Professional		$1,378.37	$2,096.25	$2,879.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,436.99 / $2,043.46	Professional		$115.97	$1,436.99	$2,043.46
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 $1,401.80 / $1,860.80 / $3,259.42	Professional		$1,401.80	$1,860.80	$3,259.42