Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.36 / $7,277.40 / $11,627.00	Facility		$2,398.36	$7,277.40	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.36 / $2,466.73 / $6,283.70	Professional		$2,398.36	$2,466.73	$6,283.70
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 $1,646.38 / $2,316.40 / $3,865.12	Professional		$1,646.38	$2,316.40	$3,865.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,090.46 / $2,090.46 / $3,044.01	Facility		$2,090.46	$2,090.46	$3,044.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,896.59 / $2,254.42 / $2,254.42	Professional		$1,896.59	$2,254.42	$2,254.42
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 $1,720.19 / $2,858.00 / $4,550.87	Professional		$1,720.19	$2,858.00	$4,550.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,134.67 / $2,869.27 / $4,334.22	Professional		$2,134.67	$2,869.27	$4,334.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,865.74 / $2,857.82	Professional		$183.77	$1,865.74	$2,857.82
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 $2,081.31 / $2,814.83 / $4,552.34	Professional		$2,081.31	$2,814.83	$4,552.34