Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.93 / $5,135.00 / $11,627.00	Facility		$1,678.93	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.93 / $1,687.17 / $4,398.80	Professional		$1,678.93	$1,687.17	$4,398.80
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 $1,220.93 / $1,867.30 / $3,162.89	Professional		$1,220.93	$1,867.30	$3,162.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,464.56 / $1,464.56 / $2,132.62	Facility		$1,464.56	$1,464.56	$2,132.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,579.44 / $1,579.44 / $1,818.13	Professional		$1,579.44	$1,579.44	$1,818.13
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 $1,329.73 / $2,189.73 / $3,180.21	Professional		$1,329.73	$2,189.73	$3,180.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,501.82 / $2,225.56 / $3,096.10	Professional		$1,501.82	$2,225.56	$3,096.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,284.76 / $2,027.73	Professional		$112.99	$1,284.76	$2,027.73
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 $1,509.23 / $1,985.83 / $3,379.96	Professional		$1,509.23	$1,985.83	$3,379.96