Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.55 / $4,723.00 / $11,627.00	Facility		$1,263.55	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,263.55 / $1,263.55 / $2,531.46	Professional		$1,263.55	$1,263.55	$2,531.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.06 / $1,400.88 / $2,364.50	Professional		$1,008.06	$1,400.88	$2,364.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,228.84 / $1,474.62 / $1,825.16	Facility		$1,228.84	$1,474.62	$1,825.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,351.74 / $1,351.74 / $1,437.70	Professional		$1,351.74	$1,351.74	$1,437.70
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 $1,040.89 / $1,705.79 / $2,559.02	Professional		$1,040.89	$1,705.79	$2,559.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,209.14 / $1,720.39 / $2,552.92	Professional		$1,209.14	$1,720.39	$2,552.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $1,054.15 / $1,713.20	Professional		$151.78	$1,054.15	$1,713.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,137.20 / $1,624.98 / $2,727.57	Professional		$1,137.20	$1,624.98	$2,727.57