Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,127.82 / $8,913.00 / $11,627.00	Facility		$2,127.82	$8,913.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.95 / $1,501.66 / $4,604.00	Professional		$1,430.95	$1,501.66	$4,604.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $13,964.62 / $26,394.04	Facility		$5,577.00	$13,964.62	$26,394.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.04 / $1,466.26 / $2,539.06	Professional		$1,122.04	$1,466.26	$2,539.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.53 / $1,236.53 / $1,800.55	Facility		$1,236.53	$1,236.53	$1,800.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,333.51 / $1,333.51 / $1,496.94	Professional		$1,333.51	$1,333.51	$1,496.94
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 $1,153.42 / $1,760.91 / $2,831.03	Professional		$1,153.42	$1,760.91	$2,831.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,333.51 / $1,786.72 / $2,700.48	Professional		$1,333.51	$1,786.72	$2,700.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,129.03 / $1,478.49 / $1,977.29	Professional		$1,129.03	$1,478.49	$1,977.29
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 $1,351.52 / $1,778.31 / $2,905.07	Professional		$1,351.52	$1,778.31	$2,905.07