Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.01 / $4,723.00 / $11,627.00	Facility		$1,409.01	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.01 / $1,430.13 / $3,691.61	Professional		$1,409.01	$1,430.13	$3,691.61
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 $1,062.63 / $1,500.18 / $2,494.67	Professional		$1,062.63	$1,500.18	$2,494.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,229.96 / $1,229.96 / $1,791.01	Facility		$1,229.96	$1,229.96	$1,791.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,326.44 / $1,326.44 / $1,398.72	Professional		$1,326.44	$1,326.44	$1,398.72
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 $1,204.09 / $1,869.07 / $2,664.94	Professional		$1,204.09	$1,869.07	$2,664.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,257.24 / $1,869.07 / $2,726.16	Professional		$1,257.24	$1,869.07	$2,726.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $1,214.73 / $1,734.06	Professional		$107.95	$1,214.73	$1,734.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,291.76 / $1,664.64 / $2,856.28	Professional		$1,291.76	$1,664.64	$2,856.28