Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.94 / $4,723.00 / $11,627.00	Facility		$1,413.94	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.21 / $1,413.94 / $2,829.50	Professional		$1,355.21	$1,413.94	$2,829.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $8,450.20 / $15,206.26	Facility		$3,315.00	$8,450.20	$15,206.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.06 / $1,421.19 / $2,401.89	Professional		$1,027.06	$1,421.19	$2,401.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,340.75 / $1,608.90 / $1,991.36	Facility		$1,340.75	$1,608.90	$1,991.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,297.69 / $1,474.83 / $1,474.83	Professional		$1,297.69	$1,474.83	$1,474.83
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 $1,128.79 / $1,857.03 / $2,823.81	Professional		$1,128.79	$1,857.03	$2,823.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,226.72 / $1,884.25 / $2,815.57	Professional		$1,226.72	$1,884.25	$2,815.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,254.46 / $1,956.93	Professional		$116.32	$1,254.46	$1,956.93
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 $1,291.49 / $1,790.20 / $3,147.64	Professional		$1,291.49	$1,790.20	$3,147.64