Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.96 / $6,582.00 / $11,627.00	Facility		$1,169.96	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.96 / $1,169.96 / $2,219.41	Professional		$1,169.96	$1,169.96	$2,219.41
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 $1,011.98 / $1,359.85 / $2,354.73	Professional		$1,011.98	$1,359.85	$2,354.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,182.48 / $1,418.98 / $2,217.15	Facility		$1,182.48	$1,418.98	$2,217.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,300.73 / $1,353.00 / $2,305.83	Professional		$1,300.73	$1,353.00	$2,305.83
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 $1,075.58 / $1,655.47 / $2,482.69	Professional		$1,075.58	$1,655.47	$2,482.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,182.48 / $1,682.51 / $2,482.69	Professional		$1,182.48	$1,682.51	$2,482.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,234.92 / $1,767.24	Professional		$115.97	$1,234.92	$1,767.24
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 $1,110.85 / $1,495.68 / $2,520.64	Professional		$1,110.85	$1,495.68	$2,520.64