Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,698.00 / $10,635.00	Facility		$1,768.00	$3,698.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,672.97 / $1,709.77 / $3,330.48	Professional		$1,672.97	$1,709.77	$3,330.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.04 / $1,766.27 / $3,120.76	Professional		$1,311.04	$1,766.27	$3,120.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,588.38 / $1,906.06 / $2,359.15	Facility		$1,588.38	$1,906.06	$2,359.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,322.83 / $1,747.22 / $1,747.22	Professional		$1,322.83	$1,747.22	$1,747.22
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 $1,294.83 / $2,223.61 / $3,372.17	Professional		$1,294.83	$2,223.61	$3,372.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,436.22 / $2,266.46 / $3,372.17	Professional		$1,436.22	$2,266.46	$3,372.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.98 / $1,379.50 / $2,267.59	Professional		$183.98	$1,379.50	$2,267.59
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 $1,470.01 / $2,142.33 / $3,619.27	Professional		$1,470.01	$2,142.33	$3,619.27