Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.87 / $6,582.00 / $11,627.00	Facility		$1,536.87	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.87 / $1,536.87 / $3,045.02	Professional		$1,536.87	$1,536.87	$3,045.02
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 $1,226.39 / $1,741.48 / $2,942.09	Professional		$1,226.39	$1,741.48	$2,942.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,624.64 / $1,956.58 / $2,421.67	Facility		$1,624.64	$1,956.58	$2,421.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,459.30 / $1,793.53 / $1,793.53	Professional		$1,459.30	$1,793.53	$1,793.53
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 $1,366.48 / $2,103.31 / $3,424.00	Professional		$1,366.48	$2,103.31	$3,424.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,525.22 / $2,176.55 / $3,424.00	Professional		$1,525.22	$2,176.55	$3,424.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $1,396.95 / $2,281.50	Professional		$220.83	$1,396.95	$2,281.50
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 $1,408.47 / $2,096.09 / $3,699.16	Professional		$1,408.47	$2,096.09	$3,699.16