Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.11 / $3,053.00 / $10,635.00	Facility		$1,688.11	$3,053.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.11 / $1,688.11 / $3,391.28	Professional		$1,688.11	$1,688.11	$3,391.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.18 / $1,778.25 / $3,092.35	Professional		$1,270.18	$1,778.25	$3,092.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,641.66 / $1,969.99 / $2,438.29	Facility		$1,641.66	$1,969.99	$2,438.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,313.24 / $1,805.83 / $1,805.83	Professional		$1,313.24	$1,805.83	$1,805.83
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 $1,358.24 / $2,267.61 / $3,425.35	Professional		$1,358.24	$2,267.61	$3,425.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,641.66 / $2,298.33 / $3,425.35	Professional		$1,641.66	$2,298.33	$3,425.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $1,381.45 / $2,276.40	Professional		$233.06	$1,381.45	$2,276.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,569.72 / $2,189.23 / $3,616.76	Professional		$1,569.72	$2,189.23	$3,616.76