Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,955.54 / $6,582.00 / $11,627.00	Facility		$1,955.54	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,955.54 / $2,008.56 / $5,123.51	Professional		$1,955.54	$2,008.56	$5,123.51
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 $1,468.12 / $2,075.21 / $3,456.83	Professional		$1,468.12	$2,075.21	$3,456.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,705.66 / $1,705.66 / $2,483.66	Facility		$1,705.66	$1,705.66	$2,483.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,839.43 / $1,839.43 / $2,397.96	Professional		$1,839.43	$1,839.43	$2,397.96
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 $1,627.76 / $2,564.07 / $3,706.62	Professional		$1,627.76	$2,564.07	$3,706.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,753.88 / $2,591.92 / $3,770.40	Professional		$1,753.88	$2,591.92	$3,770.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $1,498.19 / $2,335.84	Professional		$148.90	$1,498.19	$2,335.84
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 $1,760.88 / $2,354.02 / $3,628.34	Professional		$1,760.88	$2,354.02	$3,628.34