Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.06 / $7,837.57 / $11,627.00	Facility		$2,306.06	$7,837.57	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,306.06 / $2,306.06 / $4,610.28	Professional		$2,306.06	$2,306.06	$4,610.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,728.98 / $2,428.14 / $4,366.87	Professional		$1,728.98	$2,428.14	$4,366.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,200.80 / $2,640.96 / $3,268.76	Facility		$2,200.80	$2,640.96	$3,268.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,851.00 / $2,420.88 / $2,420.88	Professional		$1,851.00	$2,420.88	$2,420.88
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 $1,717.88 / $3,081.12 / $4,709.71	Professional		$1,717.88	$3,081.12	$4,709.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,973.84 / $3,109.86 / $4,709.71	Professional		$1,973.84	$3,109.86	$4,709.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.41 / $1,908.00 / $3,084.61	Professional		$269.41	$1,908.00	$3,084.61
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 $1,965.87 / $2,937.09 / $5,188.64	Professional		$1,965.87	$2,937.09	$5,188.64