Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.71 / $4,044.00 / $10,268.00	Facility		$1,595.71	$4,044.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,403.42 / $2,602.71	Professional		$1,209.49	$1,403.42	$2,602.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.46 / $1,505.04 / $2,551.07	Professional		$1,136.46	$1,505.04	$2,551.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,340.10 / $1,776.85 / $2,111.26	Facility		$1,340.10	$1,776.85	$2,111.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,407.11 / $1,919.00 / $1,919.00	Professional		$1,407.11	$1,919.00	$1,919.00
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 $1,303.41 / $1,784.85 / $2,971.84	Professional		$1,303.41	$1,784.85	$2,971.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,336.19 / $1,946.52 / $2,664.56	Professional		$1,336.19	$1,946.52	$2,664.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $1,096.75 / $1,839.07	Professional		$151.78	$1,096.75	$1,839.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,238.09 / $1,652.56 / $2,674.28	Professional		$1,238.09	$1,652.56	$2,674.28