Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.80 / $6,456.55 / $11,627.00	Facility		$2,108.80	$6,456.55	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,108.80 / $2,146.48 / $4,033.21	Professional		$2,108.80	$2,146.48	$4,033.21
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 $1,595.45 / $2,092.46 / $3,745.55	Professional		$1,595.45	$2,092.46	$3,745.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,841.92 / $1,841.92 / $2,682.08	Facility		$1,841.92	$1,841.92	$2,682.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,745.48 / $1,986.38 / $1,986.38	Professional		$1,745.48	$1,986.38	$1,986.38
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 $1,697.16 / $2,528.13 / $3,836.48	Professional		$1,697.16	$2,528.13	$3,836.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,896.82 / $2,760.12 / $3,760.22	Professional		$1,896.82	$2,760.12	$3,760.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,643.94 / $2,531.36	Professional		$149.16	$1,643.94	$2,531.36
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 $1,960.82 / $2,529.88 / $3,965.35	Professional		$1,960.82	$2,529.88	$3,965.35