Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,355.31 / $7,976.44 / $11,627.00	Facility		$2,355.31	$7,976.44	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,355.31 / $2,355.31 / $4,699.20	Professional		$2,355.31	$2,355.31	$4,699.20
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 $1,511.94 / $2,099.01 / $3,717.48	Professional		$1,511.94	$2,099.01	$3,717.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,248.92 / $2,698.72 / $3,340.25	Facility		$2,248.92	$2,698.72	$3,340.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,878.20 / $2,473.82 / $2,473.82	Professional		$1,878.20	$2,473.82	$2,473.82
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 $1,752.17 / $3,148.51 / $4,812.72	Professional		$1,752.17	$3,148.51	$4,812.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,094.40 / $3,173.86 / $4,812.72	Professional		$2,094.40	$3,173.86	$4,812.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.41 / $1,929.50 / $3,128.84	Professional		$269.41	$1,929.50	$3,128.84
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 $1,997.63 / $2,907.77 / $5,182.97	Professional		$1,997.63	$2,907.77	$5,182.97