Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.79 / $6,245.00 / $11,627.00	Facility		$1,802.79	$6,245.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,802.79 / $1,802.79 / $3,598.71	Professional		$1,802.79	$1,802.79	$3,598.71
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 $1,528.47 / $2,042.68 / $3,512.87	Professional		$1,528.47	$2,042.68	$3,512.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,709.78 / $2,051.73 / $2,539.46	Facility		$1,709.78	$2,051.73	$2,539.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,880.76 / $1,880.76 / $2,045.86	Professional		$1,880.76	$1,880.76	$2,045.86
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 $1,448.01 / $2,394.50 / $3,703.26	Professional		$1,448.01	$2,394.50	$3,703.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,650.49 / $2,607.90 / $3,578.01	Professional		$1,650.49	$2,607.90	$3,578.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $1,753.26 / $2,490.95	Professional		$155.61	$1,753.26	$2,490.95
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 $1,740.95 / $2,311.96 / $4,063.18	Professional		$1,740.95	$2,311.96	$4,063.18