Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,014.66 / $6,865.00 / $11,627.00	Facility		$2,014.66	$6,865.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,014.66 / $2,014.66 / $4,197.45	Professional		$2,014.66	$2,014.66	$4,197.45
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 $1,765.24 / $2,358.69 / $4,192.96	Professional		$1,765.24	$2,358.69	$4,192.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,922.93 / $2,307.52 / $2,856.05	Facility		$1,922.93	$2,307.52	$2,856.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,115.21 / $2,115.21 / $2,235.23	Professional		$2,115.21	$2,115.21	$2,235.23
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 $1,614.58 / $2,692.10 / $4,249.81	Professional		$1,614.58	$2,692.10	$4,249.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,790.10 / $2,951.70 / $4,115.07	Professional		$1,790.10	$2,951.70	$4,115.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.90 / $1,662.67 / $2,683.82	Professional		$255.90	$1,662.67	$2,683.82
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 $1,849.81 / $2,595.96 / $4,511.05	Professional		$1,849.81	$2,595.96	$4,511.05