Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,706.05 / $6,869.00 / $11,627.00	Facility		$1,706.05	$6,869.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.51 / $1,706.05 / $3,458.25	Professional		$1,667.51	$1,706.05	$3,458.25
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 $1,402.57 / $1,980.10 / $3,364.72	Professional		$1,402.57	$1,980.10	$3,364.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,792.13 / $2,169.35 / $2,685.05	Facility		$1,792.13	$2,169.35	$2,685.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,667.16 / $1,988.57 / $1,988.57	Professional		$1,667.16	$1,988.57	$1,988.57
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 $1,558.46 / $2,504.48 / $3,834.55	Professional		$1,558.46	$2,504.48	$3,834.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,746.86 / $2,541.19 / $3,834.55	Professional		$1,746.86	$2,541.19	$3,834.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.95 / $1,536.97 / $2,535.68	Professional		$218.95	$1,536.97	$2,535.68
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 $1,780.67 / $2,434.23 / $4,134.39	Professional		$1,780.67	$2,434.23	$4,134.39