Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.54 / $6,286.00 / $11,627.00	Facility		$1,557.54	$6,286.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.54 / $1,557.54 / $3,096.03	Professional		$1,557.54	$1,557.54	$3,096.03
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 $1,238.22 / $1,789.28 / $2,901.87	Professional		$1,238.22	$1,789.28	$2,901.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,638.39 / $1,982.41 / $2,453.66	Facility		$1,638.39	$1,982.41	$2,453.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,600.51 / $1,817.21 / $1,817.21	Professional		$1,600.51	$1,817.21	$1,817.21
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 $1,382.84 / $2,285.52 / $3,501.10	Professional		$1,382.84	$2,285.52	$3,501.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,517.50 / $2,319.62 / $3,501.10	Professional		$1,517.50	$2,319.62	$3,501.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $1,627.43 / $2,394.94	Professional		$229.13	$1,627.43	$2,394.94
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 $1,569.20 / $2,230.21 / $3,773.97	Professional		$1,569.20	$2,230.21	$3,773.97