Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,857.07 / $6,807.64 / $18,219.72	Facility		$1,857.07	$6,807.64	$18,219.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.06 / $1,857.07 / $5,552.64	Professional		$1,857.06	$1,857.07	$5,552.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.46 / $1,291.08 / $4,260.34	Facility		$777.46	$1,291.08	$4,260.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.35 / $1,464.24 / $2,847.69	Professional		$1,307.35	$1,464.24	$2,847.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.73 / $1,835.74 / $3,120.76	Facility		$441.73	$1,835.74	$3,120.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,359.81 / $1,359.81 / $1,835.74	Professional		$1,359.81	$1,359.81	$1,835.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $2,039.14	Facility		$2,039.14	$2,039.14	$2,039.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $3,208.32	Professional		$2,039.14	$2,039.14	$3,208.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,039.14 / $2,039.14 / $3,208.32	Professional		$2,039.14	$2,039.14	$3,208.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,903.73 / $2,434.05 / $2,882.79	Professional		$1,903.73	$2,434.05	$2,882.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,781.52 / $2,123.77 / $2,469.73	Professional		$1,781.52	$2,123.77	$2,469.73