Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.52 / $6,815.96 / $11,627.00	Facility		$1,837.52	$6,815.96	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,837.52 / $1,837.52 / $3,661.28	Professional		$1,837.52	$1,837.52	$3,661.28
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 $1,520.82 / $2,110.03 / $3,491.44	Professional		$1,520.82	$2,110.03	$3,491.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,924.88 / $2,337.79 / $3,652.80	Facility		$1,924.88	$2,337.79	$3,652.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,142.98 / $2,142.98 / $3,798.92	Professional		$2,142.98	$2,142.98	$3,798.92
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 $1,703.01 / $2,698.44 / $4,134.00	Professional		$1,703.01	$2,698.44	$4,134.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,904.12 / $2,737.99 / $4,134.00	Professional		$1,904.12	$2,737.99	$4,134.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,644.31 / $2,699.71	Professional		$236.73	$1,644.31	$2,699.71
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 $1,927.20 / $2,672.75 / $5,093.12	Professional		$1,927.20	$2,672.75	$5,093.12