Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.83 / $4,809.00 / $11,627.00	Facility		$1,364.83	$4,809.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.83 / $1,364.83 / $2,400.67	Professional		$1,364.83	$1,364.83	$2,400.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,239.00 / $12,459.20 / $22,055.31	Facility		$4,239.00	$12,459.20	$22,055.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,117.39 / $1,582.49 / $2,644.72	Professional		$1,117.39	$1,582.49	$2,644.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,259.14 / $1,510.97 / $1,870.15	Facility		$1,259.14	$1,510.97	$1,870.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,385.05 / $1,385.05 / $1,691.74	Professional		$1,385.05	$1,385.05	$1,691.74
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 $1,066.85 / $1,901.43 / $2,714.10	Professional		$1,066.85	$1,901.43	$2,714.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,229.78 / $1,910.44 / $2,622.30	Professional		$1,229.78	$1,910.44	$2,622.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,281.16 / $1,842.99	Professional		$115.97	$1,281.16	$1,842.99
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 $1,206.33 / $1,670.38 / $2,783.96	Professional		$1,206.33	$1,670.38	$2,783.96