Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.15 / $5,135.00 / $11,627.00	Facility		$1,616.15	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.15 / $1,636.57 / $4,234.31	Professional		$1,616.15	$1,636.57	$4,234.31
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 $1,204.20 / $1,746.97 / $2,918.46	Professional		$1,204.20	$1,746.97	$2,918.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,410.66 / $1,410.66 / $2,054.12	Facility		$1,410.66	$1,410.66	$2,054.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,521.30 / $1,521.30 / $1,966.88	Professional		$1,521.30	$1,521.30	$1,966.88
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 $1,365.80 / $2,107.35 / $3,061.41	Professional		$1,365.80	$2,107.35	$3,061.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,445.35 / $2,143.66 / $3,127.07	Professional		$1,445.35	$2,143.66	$3,127.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,254.52 / $1,919.64	Professional		$112.99	$1,254.52	$1,919.64
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 $1,453.01 / $1,889.19 / $2,785.30	Professional		$1,453.01	$1,889.19	$2,785.30