Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.71 / $5,135.00 / $11,627.00	Facility		$1,488.71	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.71 / $1,488.71 / $2,988.38	Professional		$1,488.71	$1,488.71	$2,988.38
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 $1,199.83 / $1,668.52 / $2,762.17	Professional		$1,199.83	$1,668.52	$2,762.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,447.06 / $1,736.47 / $2,713.25	Facility		$1,447.06	$1,736.47	$2,713.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,591.77 / $1,686.71 / $2,821.77	Professional		$1,591.77	$1,686.71	$2,821.77
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 $1,225.24 / $1,985.69 / $3,021.90	Professional		$1,225.24	$1,985.69	$3,021.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,447.06 / $2,025.88 / $3,021.90	Professional		$1,447.06	$2,025.88	$3,021.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $1,238.14 / $2,020.57	Professional		$188.38	$1,238.14	$2,020.57
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 $1,348.23 / $1,904.23 / $3,177.77	Professional		$1,348.23	$1,904.23	$3,177.77