Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,585.06 / $5,901.00 / $11,627.00	Facility		$1,585.06	$5,901.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.67 / $1,585.06 / $3,183.24	Professional		$1,510.67	$1,585.06	$3,183.24
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 $1,114.45 / $1,587.90 / $2,740.37	Professional		$1,114.45	$1,587.90	$2,740.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,503.41 / $1,804.09 / $2,232.94	Facility		$1,503.41	$1,804.09	$2,232.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,264.51 / $1,653.75 / $1,653.75	Professional		$1,264.51	$1,653.75	$1,653.75
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 $1,264.35 / $2,024.50 / $3,171.34	Professional		$1,264.35	$2,024.50	$3,171.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,384.06 / $2,104.77 / $3,164.94	Professional		$1,384.06	$2,104.77	$3,164.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.35 / $1,573.52 / $2,245.98	Professional		$152.35	$1,573.52	$2,245.98
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 $1,408.96 / $2,029.60 / $3,811.55	Professional		$1,408.96	$2,029.60	$3,811.55