Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.62 / $6,987.00 / $11,627.00	Facility		$1,528.62	$6,987.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.62 / $1,528.62 / $2,522.23	Professional		$1,528.62	$1,528.62	$2,522.23
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 $1,156.44 / $1,667.99 / $2,790.61	Professional		$1,156.44	$1,667.99	$2,790.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,547.53 / $1,857.04 / $2,298.48	Facility		$1,547.53	$1,857.04	$2,298.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,438.05 / $1,702.28 / $1,702.28	Professional		$1,438.05	$1,702.28	$1,702.28
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 $1,453.16 / $2,166.54 / $3,400.63	Professional		$1,453.16	$2,166.54	$3,400.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,468.42 / $2,360.85 / $3,311.98	Professional		$1,468.42	$2,360.85	$3,311.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.90 / $1,584.73 / $2,283.36	Professional		$191.90	$1,584.73	$2,283.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,525.04 / $2,167.92 / $3,595.03	Professional		$1,525.04	$2,167.92	$3,595.03