Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.63 / $5,170.00 / $11,627.00	Facility		$1,544.63	$5,170.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.09 / $1,544.63 / $2,719.15	Professional		$1,481.09	$1,544.63	$2,719.15
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 $1,232.91 / $1,645.37 / $2,867.30	Professional		$1,232.91	$1,645.37	$2,867.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,424.13 / $1,708.96 / $2,115.19	Facility		$1,424.13	$1,708.96	$2,115.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,566.54 / $1,566.54 / $1,630.59	Professional		$1,566.54	$1,566.54	$1,630.59
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 $1,206.34 / $2,007.25 / $3,074.17	Professional		$1,206.34	$2,007.25	$3,074.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,424.13 / $2,166.92 / $2,970.20	Professional		$1,424.13	$2,166.92	$2,970.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $1,472.83 / $2,085.17	Professional		$155.61	$1,472.83	$2,085.17
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 $1,375.03 / $1,922.58 / $3,368.51	Professional		$1,375.03	$1,922.58	$3,368.51