Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.11 / $6,566.00 / $11,627.00	Facility		$1,617.11	$6,566.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,617.11 / $1,617.11 / $3,290.49	Professional		$1,617.11	$1,617.11	$3,290.49
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 $1,251.96 / $1,730.94 / $2,973.69	Professional		$1,251.96	$1,730.94	$2,973.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,568.88 / $1,882.66 / $2,330.19	Facility		$1,568.88	$1,882.66	$2,330.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,408.39 / $1,725.77 / $1,725.77	Professional		$1,408.39	$1,725.77	$1,725.77
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 $1,314.94 / $2,218.67 / $3,307.02	Professional		$1,314.94	$2,218.67	$3,307.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,568.88 / $2,331.63 / $3,307.02	Professional		$1,568.88	$2,331.63	$3,307.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.07 / $1,539.59 / $2,243.66	Professional		$268.07	$1,539.59	$2,243.66
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 $1,525.13 / $2,179.67 / $3,651.05	Professional		$1,525.13	$2,179.67	$3,651.05