Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,203.03 / $6,699.42 / $11,627.00	Facility		$2,203.03	$6,699.42	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,203.03 / $2,269.48 / $5,771.94	Professional		$2,203.03	$2,269.48	$5,771.94
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 $1,694.95 / $2,392.87 / $3,979.14	Professional		$1,694.95	$2,392.87	$3,979.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,918.84 / $1,918.84 / $2,794.08	Facility		$1,918.84	$1,918.84	$2,794.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,069.33 / $2,069.33 / $2,566.33	Professional		$2,069.33	$2,069.33	$2,566.33
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 $1,817.01 / $2,915.88 / $4,181.38	Professional		$1,817.01	$2,915.88	$4,181.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,975.27 / $2,916.85 / $4,222.92	Professional		$1,975.27	$2,916.85	$4,222.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,936.03 / $2,754.54	Professional		$184.79	$1,936.03	$2,754.54
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 $1,988.88 / $2,615.11 / $4,107.29	Professional		$1,988.88	$2,615.11	$4,107.29