Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.52 / $6,769.55 / $11,627.00	Facility		$2,225.52	$6,769.55	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.52 / $2,293.27 / $5,830.86	Professional		$2,225.52	$2,293.27	$5,830.86
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 $1,811.61 / $2,366.67 / $4,273.96	Professional		$1,811.61	$2,366.67	$4,273.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.38 / $1,938.38 / $2,822.56	Facility		$1,938.38	$1,938.38	$2,822.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,888.59 / $2,090.42 / $2,090.42	Professional		$1,888.59	$2,090.42	$2,090.42
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 $1,775.78 / $2,660.54 / $4,290.68	Professional		$1,775.78	$2,660.54	$4,290.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,984.70 / $2,703.67 / $4,211.10	Professional		$1,984.70	$2,703.67	$4,211.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,935.58 / $2,754.54	Professional		$184.79	$1,935.58	$2,754.54
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 $2,051.40 / $2,642.69 / $4,213.85	Professional		$2,051.40	$2,642.69	$4,213.85