Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,104.31 / $6,582.00 / $11,627.00	Facility		$2,104.31	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,104.31 / $2,123.56 / $5,513.29	Professional		$2,104.31	$2,123.56	$5,513.29
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 $1,490.59 / $2,315.96 / $3,743.71	Professional		$1,490.59	$2,315.96	$3,743.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,833.68 / $1,833.68 / $2,670.09	Facility		$1,833.68	$1,833.68	$2,670.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,977.50 / $1,977.50 / $2,292.76	Professional		$1,977.50	$1,977.50	$2,292.76
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 $1,679.16 / $2,726.17 / $3,994.53	Professional		$1,679.16	$2,726.17	$3,994.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,887.62 / $2,759.52 / $3,804.50	Professional		$1,887.62	$2,759.52	$3,804.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,625.06 / $2,516.73	Professional		$149.16	$1,625.06	$2,516.73
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 $1,900.09 / $2,476.96 / $3,923.30	Professional		$1,900.09	$2,476.96	$3,923.30