Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,779.19 / $5,449.31 / $11,627.00	Facility		$1,779.19	$5,449.31	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.19 / $1,811.86 / $3,469.42	Professional		$1,779.19	$1,811.86	$3,469.42
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 $1,334.94 / $1,752.77 / $3,133.97	Professional		$1,334.94	$1,752.77	$3,133.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,554.82 / $1,554.82 / $2,264.02	Facility		$1,554.82	$1,554.82	$2,264.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,390.50 / $1,676.76 / $1,676.76	Professional		$1,390.50	$1,676.76	$1,676.76
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 $1,424.00 / $2,134.06 / $3,234.42	Professional		$1,424.00	$2,134.06	$3,234.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,591.52 / $2,326.48 / $3,146.23	Professional		$1,591.52	$2,326.48	$3,146.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,381.26 / $2,128.11	Professional		$116.32	$1,381.26	$2,128.11
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 $1,648.13 / $2,123.88 / $3,462.82	Professional		$1,648.13	$2,123.88	$3,462.82