Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.54 / $6,582.00 / $11,627.00	Facility		$1,392.54	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.54 / $1,392.54 / $2,869.53	Professional		$1,392.54	$1,392.54	$2,869.53
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 $1,206.47 / $1,731.52 / $2,756.25	Professional		$1,206.47	$1,731.52	$2,756.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,465.85 / $1,772.63 / $2,194.01	Facility		$1,465.85	$1,772.63	$2,194.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,486.82 / $1,624.91 / $1,624.91	Professional		$1,486.82	$1,624.91	$1,624.91
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 $1,280.09 / $2,056.66 / $3,128.55	Professional		$1,280.09	$2,056.66	$3,128.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,418.37 / $2,073.56 / $3,128.55	Professional		$1,418.37	$2,073.56	$3,128.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,281.38 / $2,092.05	Professional		$185.93	$1,281.38	$2,092.05
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 $1,460.86 / $1,986.71 / $3,373.85	Professional		$1,460.86	$1,986.71	$3,373.85