Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.62 / $5,422.56 / $11,627.00	Facility		$1,792.62	$5,422.56	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,792.62 / $1,811.77 / $3,495.61	Professional		$1,792.62	$1,811.77	$3,495.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,080.00 / $18,079.91 / $32,660.00	Facility		$6,080.00	$18,079.91	$32,660.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,319.38 / $1,808.99 / $3,049.95	Professional		$1,319.38	$1,808.99	$3,049.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,561.74 / $1,561.74 / $2,274.12	Facility		$1,561.74	$1,561.74	$2,274.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,661.37 / $1,684.23 / $1,684.23	Professional		$1,661.37	$1,684.23	$1,684.23
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 $1,423.69 / $2,143.57 / $3,234.20	Professional		$1,423.69	$2,143.57	$3,234.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,607.68 / $2,309.65 / $3,109.55	Professional		$1,607.68	$2,309.65	$3,109.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,388.65 / $2,136.17	Professional		$116.32	$1,388.65	$2,136.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,624.90 / $2,122.83 / $3,462.08	Professional		$1,624.90	$2,122.83	$3,462.08