Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,904.63 / $7,155.00 / $11,627.00	Facility		$1,904.63	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,904.63 / $1,923.56 / $4,990.13	Professional		$1,904.63	$1,923.56	$4,990.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,302.91 / $1,859.35 / $3,058.76	Professional		$1,302.91	$1,859.35	$3,058.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,660.16 / $1,660.16 / $2,417.42	Facility		$1,660.16	$1,660.16	$2,417.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,790.37 / $1,790.37 / $2,000.45	Professional		$1,790.37	$1,790.37	$2,000.45
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 $1,518.05 / $2,338.44 / $3,443.27	Professional		$1,518.05	$2,338.44	$3,443.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,696.64 / $2,359.34 / $3,404.36	Professional		$1,696.64	$2,359.34	$3,404.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,461.91 / $2,257.76	Professional		$149.16	$1,461.91	$2,257.76
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 $1,696.41 / $2,238.59 / $3,546.88	Professional		$1,696.41	$2,238.59	$3,546.88