Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.50 / $7,155.00 / $11,627.00	Facility		$1,292.50	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.50 / $1,306.36 / $3,386.35	Professional		$1,292.50	$1,306.36	$3,386.35
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 $1,150.33 / $1,566.82 / $2,754.29	Professional		$1,150.33	$1,566.82	$2,754.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,362.68 / $1,635.22 / $2,023.93	Facility		$1,362.68	$1,635.22	$2,023.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,432.34 / $1,498.95 / $1,498.95	Professional		$1,432.34	$1,498.95	$1,498.95
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 $1,218.90 / $1,907.75 / $2,916.13	Professional		$1,218.90	$1,907.75	$2,916.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,362.68 / $2,091.71 / $2,916.13	Professional		$1,362.68	$2,091.71	$2,916.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,185.04 / $1,904.08	Professional		$185.93	$1,185.04	$1,904.08
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 $1,362.30 / $1,910.19 / $3,224.22	Professional		$1,362.30	$1,910.19	$3,224.22