Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,044.24 / $6,275.59 / $11,627.00	Facility		$2,044.24	$6,275.59	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,044.24 / $2,080.78 / $3,821.41	Professional		$2,044.24	$2,080.78	$3,821.41
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 $1,528.47 / $2,070.21 / $3,527.65	Professional		$1,528.47	$2,070.21	$3,527.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,785.14 / $1,785.14 / $2,599.42	Facility		$1,785.14	$1,785.14	$2,599.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,906.31 / $1,925.15 / $1,925.15	Professional		$1,906.31	$1,925.15	$1,925.15
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 $1,639.46 / $2,453.00 / $3,720.03	Professional		$1,639.46	$2,453.00	$3,720.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,837.65 / $2,676.52 / $3,632.72	Professional		$1,837.65	$2,676.52	$3,632.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,589.48 / $2,449.17	Professional		$149.16	$1,589.48	$2,449.17
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 $1,882.38 / $2,442.36 / $3,830.56	Professional		$1,882.38	$2,442.36	$3,830.56