Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.25 / $6,582.00 / $11,627.00	Facility		$1,455.25	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.25 / $1,455.25 / $2,890.01	Professional		$1,455.25	$1,455.25	$2,890.01
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 $1,115.99 / $1,549.26 / $2,677.27	Professional		$1,115.99	$1,549.26	$2,677.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,531.93 / $1,852.10 / $2,292.38	Facility		$1,531.93	$1,852.10	$2,292.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,336.94 / $1,697.76 / $1,697.76	Professional		$1,336.94	$1,697.76	$1,697.76
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 $1,330.68 / $2,135.53 / $3,270.73	Professional		$1,330.68	$2,135.53	$3,270.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,484.02 / $2,162.71 / $3,270.73	Professional		$1,484.02	$2,162.71	$3,270.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,309.26 / $2,143.72	Professional		$185.93	$1,309.26	$2,143.72
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 $1,487.80 / $2,083.62 / $3,518.06	Professional		$1,487.80	$2,083.62	$3,518.06