Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.04 / $6,582.00 / $11,627.00	Facility		$1,635.04	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.04 / $1,635.04 / $3,248.98	Professional		$1,635.04	$1,635.04	$3,248.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,112.88 / $1,622.73 / $2,954.40	Professional		$1,112.88	$1,622.73	$2,954.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,718.98 / $2,080.19 / $3,250.32	Facility		$1,718.98	$2,080.19	$3,250.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,906.85 / $1,906.85 / $3,380.33	Professional		$1,906.85	$1,906.85	$3,380.33
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 $1,460.99 / $2,398.76 / $3,674.38	Professional		$1,460.99	$2,398.76	$3,674.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,635.60 / $2,433.92 / $3,674.38	Professional		$1,635.60	$2,433.92	$3,674.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $1,492.67 / $2,427.62	Professional		$220.83	$1,492.67	$2,427.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,596.56 / $2,335.00 / $3,964.34	Professional		$1,596.56	$2,335.00	$3,964.34