Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.37 / $4,781.00 / $11,627.00	Facility		$1,315.37	$4,781.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.20 / $1,315.37 / $2,684.90	Professional		$1,294.20	$1,315.37	$2,684.90
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 $1,129.98 / $1,520.54 / $2,651.89	Professional		$1,129.98	$1,520.54	$2,651.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,257.01 / $1,508.41 / $1,866.98	Facility		$1,257.01	$1,508.41	$1,866.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,382.71 / $1,382.71 / $1,397.83	Professional		$1,382.71	$1,382.71	$1,397.83
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 $1,098.06 / $1,770.86 / $2,690.00	Professional		$1,098.06	$1,770.86	$2,690.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,164.83 / $1,917.78 / $2,690.00	Professional		$1,164.83	$1,917.78	$2,690.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $1,079.97 / $1,751.33	Professional		$151.81	$1,079.97	$1,751.33
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 $1,185.33 / $1,693.82 / $2,882.36	Professional		$1,185.33	$1,693.82	$2,882.36