Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.55 / $5,843.00 / $11,627.00	Facility		$1,386.55	$5,843.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.55 / $1,386.55 / $2,785.23	Professional		$1,386.55	$1,386.55	$2,785.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,932.00 / $12,098.50 / $22,852.30	Facility		$4,932.00	$12,098.50	$22,852.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,067.00 / $1,556.37 / $2,597.69	Professional		$1,067.00	$1,556.37	$2,597.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,347.41 / $1,616.89 / $2,001.25	Facility		$1,347.41	$1,616.89	$2,001.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,171.79 / $1,482.15 / $1,482.15	Professional		$1,171.79	$1,482.15	$1,482.15
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 $1,168.41 / $1,860.07 / $2,814.25	Professional		$1,168.41	$1,860.07	$2,814.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,347.41 / $1,886.37 / $2,814.25	Professional		$1,347.41	$1,886.37	$2,814.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.38 / $1,145.80 / $1,858.72	Professional		$188.38	$1,145.80	$1,858.72
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 $1,296.35 / $1,752.66 / $2,933.30	Professional		$1,296.35	$1,752.66	$2,933.30