Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.93 / $5,573.65 / $11,627.00	Facility		$1,820.93	$5,573.65	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,820.93 / $1,872.69 / $4,770.84	Professional		$1,820.93	$1,872.69	$4,770.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,397.47 / $1,972.89 / $3,356.99	Professional		$1,397.47	$1,972.89	$3,356.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,591.37 / $1,591.37 / $2,317.26	Facility		$1,591.37	$1,591.37	$2,317.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,716.19 / $1,716.19 / $2,142.35	Professional		$1,716.19	$1,716.19	$2,142.35
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 $1,457.09 / $2,417.07 / $3,473.49	Professional		$1,457.09	$2,417.07	$3,473.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,638.18 / $2,417.63 / $3,323.95	Professional		$1,638.18	$2,417.63	$3,323.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,445.49 / $2,221.01	Professional		$116.32	$1,445.49	$2,221.01
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 $1,651.52 / $2,157.76 / $3,476.88	Professional		$1,651.52	$2,157.76	$3,476.88