Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,722.35 / $6,582.00 / $11,627.00	Facility		$1,722.35	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,722.35 / $1,722.35 / $3,540.05	Professional		$1,722.35	$1,722.35	$3,540.05
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 $1,511.04 / $2,136.66 / $3,440.23	Professional		$1,511.04	$2,136.66	$3,440.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,809.69 / $2,191.12 / $2,711.98	Facility		$1,809.69	$2,191.12	$2,711.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,609.84 / $2,008.52 / $2,008.52	Professional		$1,609.84	$2,008.52	$2,008.52
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 $1,515.71 / $2,556.31 / $3,895.94	Professional		$1,515.71	$2,556.31	$3,895.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,711.69 / $2,695.40 / $3,895.94	Professional		$1,711.69	$2,695.40	$3,895.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.95 / $1,551.12 / $2,562.32	Professional		$218.95	$1,551.12	$2,562.32
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 $1,809.14 / $2,465.01 / $4,178.21	Professional		$1,809.14	$2,465.01	$4,178.21