Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.68 / $5,227.46 / $11,627.00	Facility		$1,708.68	$5,227.46	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.68 / $1,758.22 / $4,476.74	Professional		$1,708.68	$1,758.22	$4,476.74
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 $1,294.05 / $1,826.89 / $3,037.96	Professional		$1,294.05	$1,826.89	$3,037.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,492.54 / $1,492.54 / $2,173.34	Facility		$1,492.54	$1,492.54	$2,173.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,609.60 / $1,609.60 / $2,055.69	Professional		$1,609.60	$1,609.60	$2,055.69
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 $1,367.45 / $2,268.06 / $3,259.23	Professional		$1,367.45	$2,268.06	$3,259.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,536.43 / $2,268.53 / $3,105.61	Professional		$1,536.43	$2,268.53	$3,105.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,318.73 / $2,043.33	Professional		$116.32	$1,318.73	$2,043.33
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 $1,582.31 / $2,039.06 / $3,264.19	Professional		$1,582.31	$2,039.06	$3,264.19