Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.26 / $6,582.00 / $11,627.00	Facility		$1,747.26	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,747.26 / $1,747.26 / $3,068.43	Professional		$1,747.26	$1,747.26	$3,068.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,552.61 / $2,086.23 / $3,739.22	Professional		$1,552.61	$2,086.23	$3,739.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $2,118.61 / $3,310.34	Facility		$1,765.51	$2,118.61	$3,310.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,942.06 / $1,942.06 / $3,442.74	Professional		$1,942.06	$1,942.06	$3,442.74
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 $1,498.09 / $2,471.71 / $3,778.18	Professional		$1,498.09	$2,471.71	$3,778.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,765.51 / $2,594.91 / $3,717.46	Professional		$1,765.51	$2,594.91	$3,717.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $1,531.67 / $2,469.72	Professional		$157.85	$1,531.67	$2,469.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,759.41 / $2,357.19 / $3,912.12	Professional		$1,759.41	$2,357.19	$3,912.12