Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,382.08 / $7,228.55 / $11,627.00	Facility		$2,382.08	$7,228.55	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,382.08 / $2,404.96 / $6,241.05	Professional		$2,382.08	$2,404.96	$6,241.05
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 $1,825.72 / $2,571.28 / $4,286.14	Professional		$1,825.72	$2,571.28	$4,286.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,075.03 / $2,075.03 / $3,021.53	Facility		$2,075.03	$2,075.03	$3,021.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,237.77 / $2,237.77 / $2,743.88	Professional		$2,237.77	$2,237.77	$2,743.88
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 $1,935.61 / $3,118.66 / $4,518.75	Professional		$1,935.61	$3,118.66	$4,518.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,136.06 / $3,153.23 / $4,302.93	Professional		$2,136.06	$3,153.23	$4,302.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,863.68 / $2,852.73	Professional		$183.77	$1,863.68	$2,852.73
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 $2,147.96 / $2,796.04 / $4,432.60	Professional		$2,147.96	$2,796.04	$4,432.60