Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,167.69 / $6,812.00 / $11,627.00	Facility		$2,167.69	$6,812.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,167.69 / $2,198.76 / $5,679.37	Professional		$2,167.69	$2,198.76	$5,679.37
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 $1,764.71 / $2,297.21 / $4,142.91	Professional		$1,764.71	$2,297.21	$4,142.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,888.13 / $1,888.13 / $2,749.37	Facility		$1,888.13	$1,888.13	$2,749.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,922.63 / $2,036.21 / $2,036.21	Professional		$1,922.63	$2,036.21	$2,036.21
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 $1,730.17 / $2,591.54 / $4,159.13	Professional		$1,730.17	$2,591.54	$4,159.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,933.72 / $2,831.61 / $4,159.13	Professional		$1,933.72	$2,831.61	$4,159.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,865.63 / $2,647.19	Professional		$184.79	$1,865.63	$2,647.19
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 $1,957.68 / $2,575.90 / $4,089.69	Professional		$1,957.68	$2,575.90	$4,089.69