Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,588.52 / $5,135.00 / $11,627.00	Facility		$1,588.52	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,588.52 / $1,648.91 / $4,161.92	Professional		$1,588.52	$1,648.91	$4,161.92
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 $1,106.25 / $1,574.77 / $2,533.82	Professional		$1,106.25	$1,574.77	$2,533.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,387.43 / $1,387.43 / $2,020.28	Facility		$1,387.43	$1,387.43	$2,020.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,496.24 / $1,496.24 / $1,594.59	Professional		$1,496.24	$1,496.24	$1,594.59
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 $1,269.08 / $1,904.30 / $2,949.10	Professional		$1,269.08	$1,904.30	$2,949.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,418.39 / $1,923.48 / $2,885.30	Professional		$1,418.39	$1,923.48	$2,885.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,234.84 / $1,903.52	Professional		$112.99	$1,234.84	$1,903.52
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 $1,413.31 / $1,867.98 / $3,197.94	Professional		$1,413.31	$1,867.98	$3,197.94