Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.63 / $5,015.00 / $11,627.00	Facility		$1,496.63	$5,015.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,496.63 / $1,514.96 / $2,918.43	Professional		$1,496.63	$1,514.96	$2,918.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.69 / $1,738.81 / $2,984.35	Professional		$1,108.69	$1,738.81	$2,984.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.36 / $1,303.36 / $1,897.88	Facility		$1,303.36	$1,303.36	$1,897.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,211.00 / $1,405.59 / $1,405.59	Professional		$1,211.00	$1,405.59	$1,405.59
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 $1,180.94 / $1,788.93 / $2,704.69	Professional		$1,180.94	$1,788.93	$2,704.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,319.87 / $1,948.68 / $2,613.00	Professional		$1,319.87	$1,948.68	$2,613.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,161.07 / $1,804.05	Professional		$112.99	$1,161.07	$1,804.05
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 $1,340.20 / $1,772.33 / $3,030.15	Professional		$1,340.20	$1,772.33	$3,030.15