Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $6,582.00 / $91,018.73	Facility		$1,894.00	$6,582.00	$91,018.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.00 / $1,924.44 / $4,962.28	Professional		$1,894.00	$1,924.44	$4,962.28
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 $1,415.50 / $2,066.38 / $3,323.08	Professional		$1,415.50	$2,066.38	$3,323.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,650.46 / $1,650.46 / $2,403.29	Facility		$1,650.46	$1,650.46	$2,403.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,779.90 / $1,779.90 / $2,312.00	Professional		$1,779.90	$1,779.90	$2,312.00
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 $1,521.01 / $2,470.25 / $3,589.07	Professional		$1,521.01	$2,470.25	$3,589.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,696.84 / $2,508.04 / $3,414.22	Professional		$1,696.84	$2,508.04	$3,414.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,456.41 / $2,226.28	Professional		$149.16	$1,456.41	$2,226.28
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 $1,703.97 / $2,217.31 / $3,510.33	Professional		$1,703.97	$2,217.31	$3,510.33