Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.91 / $6,582.00 / $11,627.00	Facility		$1,749.91	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,749.91 / $1,749.91 / $3,558.75	Professional		$1,749.91	$1,749.91	$3,558.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,813.00 / $17,502.61 / $31,496.21	Facility		$6,813.00	$17,502.61	$31,496.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,519.64 / $2,049.48 / $3,436.02	Professional		$1,519.64	$2,049.48	$3,436.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,833.91 / $2,225.69 / $2,754.79	Facility		$1,833.91	$2,225.69	$2,754.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,860.28 / $2,040.23 / $2,040.23	Professional		$1,860.28	$2,040.23	$2,040.23
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 $1,662.34 / $2,568.63 / $3,936.18	Professional		$1,662.34	$2,568.63	$3,936.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,833.37 / $2,672.17 / $3,936.18	Professional		$1,833.37	$2,672.17	$3,936.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.14 / $1,585.26 / $2,607.65	Professional		$233.14	$1,585.26	$2,607.65
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 $1,842.63 / $2,502.81 / $4,255.55	Professional		$1,842.63	$2,502.81	$4,255.55