Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.21 / $6,582.00 / $11,627.00	Facility		$2,145.21	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,145.21 / $2,210.26 / $5,620.45	Professional		$2,145.21	$2,210.26	$5,620.45
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 $1,609.88 / $2,273.83 / $3,779.43	Professional		$1,609.88	$2,273.83	$3,779.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,868.90 / $1,868.90 / $2,721.37	Facility		$1,868.90	$1,868.90	$2,721.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,015.49 / $2,015.49 / $2,624.64	Professional		$2,015.49	$2,015.49	$2,624.64
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 $1,742.86 / $2,802.70 / $4,071.94	Professional		$1,742.86	$2,802.70	$4,071.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,923.88 / $2,840.01 / $3,934.36	Professional		$1,923.88	$2,840.01	$3,934.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,660.64 / $2,564.24	Professional		$149.16	$1,660.64	$2,564.24
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 $1,937.45 / $2,511.02 / $4,000.72	Professional		$1,937.45	$2,511.02	$4,000.72