Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,308.97 / $6,582.00 / $11,627.00	Facility		$1,308.97	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.97 / $1,308.97 / $2,170.29	Professional		$1,308.97	$1,308.97	$2,170.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,489.11 / $24,772.14	Facility		$4,142.00	$14,489.11	$24,772.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.95 / $1,525.26 / $2,696.96	Professional		$1,146.95	$1,525.26	$2,696.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.01 / $1,581.61 / $1,957.59	Facility		$1,318.01	$1,581.61	$1,957.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,410.78 / $1,449.81 / $1,449.81	Professional		$1,410.78	$1,449.81	$1,449.81
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 $1,204.08 / $1,845.22 / $2,820.55	Professional		$1,204.08	$1,845.22	$2,820.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,318.01 / $1,886.09 / $2,789.20	Professional		$1,318.01	$1,886.09	$2,789.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,380.08 / $1,976.73	Professional		$115.97	$1,380.08	$1,976.73
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 $1,240.92 / $1,762.59 / $2,874.22	Professional		$1,240.92	$1,762.59	$2,874.22