Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,227.84 / $6,758.89 / $11,627.00	Facility		$2,227.84	$6,758.89	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,938.85 / $2,255.11 / $5,836.94	Professional		$1,938.85	$2,255.11	$5,836.94
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 $1,607.48 / $2,269.38 / $3,773.78	Professional		$1,607.48	$2,269.38	$3,773.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,943.06 / $1,943.06 / $2,829.38	Facility		$1,943.06	$1,943.06	$2,829.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,095.46 / $2,095.46 / $2,293.67	Professional		$2,095.46	$2,095.46	$2,293.67
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 $1,750.65 / $2,666.96 / $4,229.37	Professional		$1,750.65	$2,666.96	$4,229.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,991.70 / $2,846.68 / $4,039.00	Professional		$1,991.70	$2,846.68	$4,039.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,954.65 / $2,754.56	Professional		$184.79	$1,954.65	$2,754.56
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 $1,991.69 / $2,566.58 / $4,163.68	Professional		$1,991.69	$2,566.58	$4,163.68