Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.49 / $5,786.00 / $11,627.00	Facility		$1,425.49	$5,786.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.49 / $1,425.49 / $2,929.67	Professional		$1,425.49	$1,425.49	$2,929.67
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 $1,031.54 / $1,556.97 / $2,834.68	Professional		$1,031.54	$1,556.97	$2,834.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,497.68 / $1,814.03 / $2,245.26	Facility		$1,497.68	$1,814.03	$2,245.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.17 / $1,662.86 / $1,662.86	Professional		$1,211.17	$1,662.86	$1,662.86
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 $1,349.76 / $2,099.77 / $3,223.15	Professional		$1,349.76	$2,099.77	$3,223.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,496.60 / $2,169.69 / $3,223.15	Professional		$1,496.60	$2,169.69	$3,223.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,294.44 / $2,101.76	Professional		$185.93	$1,294.44	$2,101.76
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 $1,499.83 / $2,040.78 / $3,460.08	Professional		$1,499.83	$2,040.78	$3,460.08