Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,168.07 / $6,611.05 / $11,627.00	Facility		$2,168.07	$6,611.05	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.07 / $2,237.02 / $5,680.34	Professional		$2,168.07	$2,237.02	$5,680.34
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 $1,626.37 / $2,372.59 / $4,099.45	Professional		$1,626.37	$2,372.59	$4,099.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,886.86 / $1,886.86 / $2,747.51	Facility		$1,886.86	$1,886.86	$2,747.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,034.85 / $2,034.85 / $2,508.88	Professional		$2,034.85	$2,034.85	$2,508.88
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 $1,734.80 / $2,834.04 / $4,121.34	Professional		$1,734.80	$2,834.04	$4,121.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,942.35 / $2,851.56 / $3,926.86	Professional		$1,942.35	$2,851.56	$3,926.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,892.77 / $2,687.26	Professional		$184.79	$1,892.77	$2,687.26
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 $1,960.42 / $2,556.57 / $4,218.62	Professional		$1,960.42	$2,556.57	$4,218.62