Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,931.57 / $6,554.00 / $11,627.00	Facility		$1,931.57	$6,554.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.57 / $1,949.94 / $5,060.71	Professional		$1,931.57	$1,949.94	$5,060.71
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 $1,479.51 / $2,088.71 / $3,548.38	Professional		$1,479.51	$2,088.71	$3,548.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,683.58 / $1,683.58 / $2,451.52	Facility		$1,683.58	$1,683.58	$2,451.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,815.63 / $1,815.63 / $2,082.52	Professional		$1,815.63	$1,815.63	$2,082.52
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 $1,551.53 / $2,429.88 / $3,666.54	Professional		$1,551.53	$2,429.88	$3,666.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,733.10 / $2,533.62 / $3,490.79	Professional		$1,733.10	$2,533.62	$3,490.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,513.38 / $2,320.74	Professional		$149.16	$1,513.38	$2,320.74
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 $1,744.09 / $2,296.27 / $3,535.79	Professional		$1,744.09	$2,296.27	$3,535.79