Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.99 / $6,453.23 / $11,627.00	Facility		$1,717.99	$6,453.23	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,717.99 / $1,717.99 / $6,453.23	Professional		$1,717.99	$1,717.99	$6,453.23
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 $1,609.44 / $1,908.00 / $3,313.55	Professional		$1,609.44	$1,908.00	$3,313.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,499.36 / $1,499.36 / $2,183.27	Facility		$1,499.36	$1,499.36	$2,183.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,616.96 / $1,616.96 / $2,149.82	Professional		$1,616.96	$1,616.96	$2,149.82
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 $1,447.11 / $2,278.44 / $3,581.41	Professional		$1,447.11	$2,278.44	$3,581.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,566.54 / $2,263.46 / $3,895.06	Professional		$1,566.54	$2,263.46	$3,895.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,371.29 / $1,806.43 / $2,387.21	Professional		$1,371.29	$1,806.43	$2,387.21
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 $1,600.52 / $2,346.87 / $3,372.95	Professional		$1,600.52	$2,346.87	$3,372.95