Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,031.98 / $6,251.00 / $11,581.00	Facility		$2,031.98	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.81 / $1,513.81 / $3,996.46	Professional		$1,513.81	$1,513.81	$3,996.46
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 $1,201.80 / $1,614.66 / $2,651.09	Professional		$1,201.80	$1,614.66	$2,651.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.30 / $1,734.36 / $2,146.64	Facility		$1,445.30	$1,734.36	$2,146.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,589.83 / $1,589.83 / $1,683.51	Professional		$1,589.83	$1,589.83	$1,683.51
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 $1,228.91 / $2,003.58 / $3,027.21	Professional		$1,228.91	$2,003.58	$3,027.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,445.30 / $2,023.42 / $3,027.21	Professional		$1,445.30	$2,023.42	$3,027.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.42 / $1,245.70 / $2,039.78	Professional		$155.42	$1,245.70	$2,039.78
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 $1,340.02 / $1,929.60 / $3,254.98	Professional		$1,340.02	$1,929.60	$3,254.98