Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.18 / $8,553.00 / $14,415.69	Facility		$1,386.18	$8,553.00	$14,415.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.18 / $1,386.18 / $2,756.37	Professional		$1,386.18	$1,386.18	$2,756.37
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 $1,170.01 / $1,628.06 / $2,670.42	Professional		$1,170.01	$1,628.06	$2,670.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,315.27 / $1,578.32 / $2,466.14	Facility		$1,315.27	$1,578.32	$2,466.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,446.80 / $1,520.79 / $2,564.78	Professional		$1,446.80	$1,520.79	$2,564.78
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 $1,114.30 / $1,858.85 / $2,836.46	Professional		$1,114.30	$1,858.85	$2,836.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,302.76 / $1,992.55 / $2,740.52	Professional		$1,302.76	$1,992.55	$2,740.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,393.08 / $1,985.69	Professional		$115.97	$1,393.08	$1,985.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,341.08 / $1,759.58 / $3,107.40	Professional		$1,341.08	$1,759.58	$3,107.40