Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.31 / $7,155.00 / $11,627.00	Facility		$1,790.31	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,790.31 / $1,790.31 / $3,566.76	Professional		$1,790.31	$1,790.31	$3,566.76
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 $1,455.28 / $2,136.84 / $3,486.92	Professional		$1,455.28	$2,136.84	$3,486.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,876.02 / $2,276.54 / $2,817.72	Facility		$1,876.02	$2,276.54	$2,817.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,013.73 / $2,086.83 / $2,086.83	Professional		$2,013.73	$2,086.83	$2,086.83
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 $1,708.29 / $2,504.19 / $4,031.76	Professional		$1,708.29	$2,504.19	$4,031.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,897.12 / $2,575.88 / $4,031.76	Professional		$1,897.12	$2,575.88	$4,031.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,622.64 / $2,655.77	Professional		$236.73	$1,622.64	$2,655.77
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 $1,813.06 / $2,542.17 / $4,354.83	Professional		$1,813.06	$2,542.17	$4,354.83