Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,822.13 / $5,579.34 / $11,627.00	Facility		$1,822.13	$5,579.34	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,822.13 / $1,882.14 / $4,773.97	Professional		$1,822.13	$1,882.14	$4,773.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,390.73 / $2,059.92 / $3,419.71	Professional		$1,390.73	$2,059.92	$3,419.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,317.83 / $2,317.83 / $2,317.83	Facility		$2,317.83	$2,317.83	$2,317.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,716.62 / $1,716.62 / $2,127.46	Professional		$1,716.62	$1,716.62	$2,127.46
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 $1,466.93 / $2,418.05 / $3,476.61	Professional		$1,466.93	$2,418.05	$3,476.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,638.59 / $2,418.87 / $3,577.96	Professional		$1,638.59	$2,418.87	$3,577.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,425.52 / $2,181.28	Professional		$116.32	$1,425.52	$2,181.28
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 $1,652.20 / $2,158.67 / $3,545.46	Professional		$1,652.20	$2,158.67	$3,545.46