Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.21 / $6,582.00 / $11,627.00	Facility		$1,505.21	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.21 / $1,505.21 / $3,087.25	Professional		$1,505.21	$1,505.21	$3,087.25
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 $1,162.08 / $1,635.90 / $2,918.58	Professional		$1,162.08	$1,635.90	$2,918.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,585.71 / $1,915.28 / $2,370.59	Facility		$1,585.71	$1,915.28	$2,370.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,265.52 / $1,755.68 / $1,755.68	Professional		$1,265.52	$1,755.68	$1,755.68
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 $1,364.77 / $2,212.69 / $3,382.48	Professional		$1,364.77	$2,212.69	$3,382.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,504.59 / $2,241.44 / $3,382.48	Professional		$1,504.59	$2,241.44	$3,382.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $1,548.93 / $2,278.73	Professional		$229.13	$1,548.93	$2,278.73
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 $1,576.79 / $2,154.69 / $3,637.86	Professional		$1,576.79	$2,154.69	$3,637.86