Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.73 / $6,582.00 / $11,627.00	Facility		$1,069.73	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.73 / $1,069.73 / $1,854.41	Professional		$1,069.73	$1,069.73	$1,854.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.00 / $15,493.10 / $29,406.00	Facility		$5,920.00	$15,493.10	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.32 / $1,145.57 / $1,918.62	Professional		$847.32	$1,145.57	$1,918.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.69 / $1,392.83 / $2,176.29	Facility		$1,160.69	$1,392.83	$2,176.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,276.76 / $1,276.76 / $2,263.35	Professional		$1,276.76	$1,276.76	$2,263.35
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 $1,050.29 / $1,623.18 / $2,444.86	Professional		$1,050.29	$1,623.18	$2,444.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,154.11 / $1,624.96 / $2,426.73	Professional		$1,154.11	$1,624.96	$2,426.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $957.99 / $1,599.51	Professional		$119.23	$957.99	$1,599.51
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 $960.29 / $1,547.85 / $2,571.37	Professional		$960.29	$1,547.85	$2,571.37