Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.72 / $6,582.00 / $11,627.00	Facility		$1,537.72	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.66 / $1,537.72 / $3,192.89	Professional		$1,506.66	$1,537.72	$3,192.89
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 $1,293.79 / $1,799.52 / $3,103.76	Professional		$1,293.79	$1,799.52	$3,103.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,622.09 / $1,957.25 / $2,422.52	Facility		$1,622.09	$1,957.25	$2,422.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,645.48 / $1,794.14 / $1,794.14	Professional		$1,645.48	$1,794.14	$1,794.14
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 $1,455.74 / $2,283.46 / $3,455.70	Professional		$1,455.74	$2,283.46	$3,455.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,631.04 / $2,340.07 / $3,455.70	Professional		$1,631.04	$2,340.07	$3,455.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $1,588.16 / $2,347.24	Professional		$229.13	$1,588.16	$2,347.24
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 $1,608.23 / $2,190.19 / $3,714.20	Professional		$1,608.23	$2,190.19	$3,714.20