Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,265.62 / $6,911.84 / $11,627.00	Facility		$2,265.62	$6,911.84	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,265.62 / $2,284.36 / $5,935.92	Professional		$2,265.62	$2,284.36	$5,935.92
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 $1,346.09 / $2,033.17 / $3,244.15	Professional		$1,346.09	$2,033.17	$3,244.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,972.01 / $1,972.01 / $2,871.52	Facility		$1,972.01	$1,972.01	$2,871.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,652.61 / $2,126.67 / $2,126.67	Professional		$1,652.61	$2,126.67	$2,126.67
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 $1,731.86 / $2,706.04 / $4,307.77	Professional		$1,731.86	$2,706.04	$4,307.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,028.22 / $2,736.41 / $4,103.78	Professional		$2,028.22	$2,736.41	$4,103.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,981.90 / $2,787.14	Professional		$184.79	$1,981.90	$2,787.14
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 $1,973.40 / $2,610.01 / $4,240.05	Professional		$1,973.40	$2,610.01	$4,240.05