Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,402.15 / $6,582.00 / $11,627.00	Facility		$1,402.15	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.15 / $1,402.15 / $2,862.81	Professional		$1,402.15	$1,402.15	$2,862.81
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 $1,217.93 / $1,642.84 / $2,781.47	Professional		$1,217.93	$1,642.84	$2,781.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,476.96 / $1,784.09 / $2,208.19	Facility		$1,476.96	$1,784.09	$2,208.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,553.75 / $1,635.41 / $1,635.41	Professional		$1,553.75	$1,635.41	$1,635.41
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 $1,287.24 / $2,069.21 / $3,152.57	Professional		$1,287.24	$2,069.21	$3,152.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,435.19 / $2,087.48 / $3,152.57	Professional		$1,435.19	$2,087.48	$3,152.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,300.02 / $2,108.02	Professional		$185.93	$1,300.02	$2,108.02
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 $1,485.71 / $2,018.73 / $3,598.72	Professional		$1,485.71	$2,018.73	$3,598.72