Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.95 / $8,491.00 / $11,627.00	Facility		$1,982.95	$8,491.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,734.30 / $1,982.95 / $5,195.33	Professional		$1,734.30	$1,982.95	$5,195.33
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 $1,515.91 / $2,192.08 / $3,630.99	Professional		$1,515.91	$2,192.08	$3,630.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,729.45 / $1,729.45 / $2,518.32	Facility		$1,729.45	$1,729.45	$2,518.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,865.09 / $1,865.09 / $2,313.39	Professional		$1,865.09	$1,865.09	$2,313.39
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 $1,613.99 / $2,628.09 / $3,759.50	Professional		$1,613.99	$2,628.09	$3,759.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,779.31 / $2,629.37 / $3,846.43	Professional		$1,779.31	$2,629.37	$3,846.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,577.00 / $2,410.42	Professional		$149.16	$1,577.00	$2,410.42
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 $1,786.26 / $2,348.51 / $3,760.65	Professional		$1,786.26	$2,348.51	$3,760.65