Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.01 / $6,582.00 / $11,627.00	Facility		$1,459.01	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.01 / $1,459.01 / $2,982.67	Professional		$1,459.01	$1,459.01	$2,982.67
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 $1,173.26 / $1,640.75 / $2,884.19	Professional		$1,173.26	$1,640.75	$2,884.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,534.61 / $1,856.82 / $2,298.21	Facility		$1,534.61	$1,856.82	$2,298.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,298.13 / $1,702.09 / $1,702.09	Professional		$1,298.13	$1,702.09	$1,702.09
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 $1,363.12 / $2,140.92 / $3,286.60	Professional		$1,363.12	$2,140.92	$3,286.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,520.18 / $2,191.17 / $3,286.60	Professional		$1,520.18	$2,191.17	$3,286.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,335.03 / $2,168.04	Professional		$185.93	$1,335.03	$2,168.04
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 $1,530.92 / $2,088.92 / $3,535.65	Professional		$1,530.92	$2,088.92	$3,535.65