Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,293.44 / $7,234.00 / $11,735.00	Facility		$2,293.44	$7,234.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,702.06 / $1,702.06 / $3,397.57	Professional		$1,702.06	$1,702.06	$3,397.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,290.61 / $1,761.32 / $3,072.18	Professional		$1,290.61	$1,761.32	$3,072.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,619.33 / $1,943.20 / $2,405.12	Facility		$1,619.33	$1,943.20	$2,405.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,302.21 / $1,781.26 / $1,781.26	Professional		$1,302.21	$1,781.26	$1,781.26
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 $1,307.94 / $2,105.13 / $3,448.47	Professional		$1,307.94	$2,105.13	$3,448.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,463.55 / $2,225.73 / $3,446.98	Professional		$1,463.55	$2,225.73	$3,446.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,389.87 / $2,292.47	Professional		$194.98	$1,389.87	$2,292.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,579.00 / $11,097.00	Facility		$3,793.00	$6,579.00	$11,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,419.32 / $2,157.14 / $3,621.50	Professional		$1,419.32	$2,157.14	$3,621.50