Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.02 / $5,135.00 / $11,627.00	Facility		$1,480.02	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,476.49 / $1,480.02 / $2,970.90	Professional		$1,476.49	$1,480.02	$2,970.90
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 $1,050.69 / $1,491.48 / $2,532.04	Professional		$1,050.69	$1,491.48	$2,532.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,403.75 / $1,684.50 / $2,084.94	Facility		$1,403.75	$1,684.50	$2,084.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,330.56 / $1,544.13 / $1,544.13	Professional		$1,330.56	$1,544.13	$1,544.13
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 $1,180.76 / $1,950.27 / $2,998.37	Professional		$1,180.76	$1,950.27	$2,998.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,290.39 / $1,973.24 / $2,960.88	Professional		$1,290.39	$1,973.24	$2,960.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,286.15 / $2,006.99	Professional		$116.32	$1,286.15	$2,006.99
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 $1,357.85 / $1,863.62 / $3,297.71	Professional		$1,357.85	$1,863.62	$3,297.71