Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,069.96 / $6,582.00 / $11,627.00	Facility		$2,069.96	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,069.96 / $2,135.73 / $5,423.29	Professional		$2,069.96	$2,135.73	$5,423.29
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 $1,470.36 / $2,208.67 / $3,644.37	Professional		$1,470.36	$2,208.67	$3,644.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,802.28 / $1,802.28 / $2,624.37	Facility		$1,802.28	$1,802.28	$2,624.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,902.36 / $1,943.63 / $1,943.63	Professional		$1,902.36	$1,943.63	$1,943.63
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 $1,655.76 / $2,684.64 / $3,934.56	Professional		$1,655.76	$2,684.64	$3,934.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,855.28 / $2,708.35 / $3,748.80	Professional		$1,855.28	$2,708.35	$3,748.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,591.96 / $2,449.08	Professional		$149.16	$1,591.96	$2,449.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,874.81 / $2,428.17 / $3,586.18	Professional		$1,874.81	$2,428.17	$3,586.18