Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.20 / $5,320.31 / $11,627.00	Facility		$1,494.20	$5,320.31	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.20 / $1,513.38 / $5,320.31	Professional		$1,494.20	$1,513.38	$5,320.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,385.36 / $1,676.29 / $2,852.22	Professional		$1,385.36	$1,676.29	$2,852.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,303.33 / $1,303.33 / $1,897.86	Facility		$1,303.33	$1,303.33	$1,897.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,405.57 / $1,405.57 / $1,636.60	Professional		$1,405.57	$1,405.57	$1,636.60
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 $1,254.36 / $1,958.90 / $3,004.79	Professional		$1,254.36	$1,958.90	$3,004.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,363.08 / $1,961.41 / $3,341.95	Professional		$1,363.08	$1,961.41	$3,341.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,194.21 / $1,572.73 / $2,077.44	Professional		$1,194.21	$1,572.73	$2,077.44
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 $1,390.82 / $2,042.06 / $2,903.70	Professional		$1,390.82	$2,042.06	$2,903.70