Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,215.28 / $6,319.00 / $11,581.00	Facility		$2,215.28	$6,319.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,643.36 / $1,643.36 / $4,056.00	Professional		$1,643.36	$1,643.36	$4,056.00
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 $1,319.99 / $1,773.45 / $2,911.81	Professional		$1,319.99	$1,773.45	$2,911.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,562.45 / $1,874.94 / $2,320.64	Facility		$1,562.45	$1,874.94	$2,320.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,718.70 / $1,718.70 / $1,849.09	Professional		$1,718.70	$1,718.70	$1,849.09
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 $1,329.82 / $2,177.65 / $3,302.47	Professional		$1,329.82	$2,177.65	$3,302.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,562.45 / $2,187.42 / $3,284.58	Professional		$1,562.45	$2,187.42	$3,284.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $1,363.11 / $2,187.36	Professional		$191.37	$1,363.11	$2,187.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,879.00 / $5,726.00 / $9,483.00	Facility		$3,879.00	$5,726.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,473.23 / $2,099.03 / $3,561.03	Professional		$1,473.23	$2,099.03	$3,561.03