Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.08 / $6,818.00 / $11,627.00	Facility		$1,629.08	$6,818.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,608.36 / $1,629.08 / $3,244.60	Professional		$1,608.36	$1,629.08	$3,244.60
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 $1,347.98 / $1,809.66 / $3,260.66	Professional		$1,347.98	$1,809.66	$3,260.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,545.35 / $1,854.42 / $2,295.23	Facility		$1,545.35	$1,854.42	$2,295.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,699.89 / $1,699.89 / $1,792.00	Professional		$1,699.89	$1,699.89	$1,792.00
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 $1,308.94 / $2,163.48 / $3,338.87	Professional		$1,308.94	$2,163.48	$3,338.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,545.35 / $2,311.23 / $3,225.95	Professional		$1,545.35	$2,311.23	$3,225.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $1,399.86 / $2,230.83	Professional		$116.52	$1,399.86	$2,230.83
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 $1,572.25 / $2,123.69 / $3,629.84	Professional		$1,572.25	$2,123.69	$3,629.84