Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.83 / $6,245.00 / $11,627.00	Facility		$1,324.83	$6,245.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.83 / $1,342.84 / $3,471.05	Professional		$1,324.83	$1,342.84	$3,471.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.92 / $1,468.11 / $2,360.39	Professional		$959.92	$1,468.11	$2,360.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,156.13 / $1,156.13 / $1,683.48	Facility		$1,156.13	$1,156.13	$1,683.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,246.81 / $1,246.81 / $1,436.08	Professional		$1,246.81	$1,246.81	$1,436.08
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 $1,092.36 / $1,726.79 / $2,506.48	Professional		$1,092.36	$1,726.79	$2,506.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,181.21 / $1,756.87 / $2,592.71	Professional		$1,181.21	$1,756.87	$2,592.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $1,036.61 / $1,588.94	Professional		$76.13	$1,036.61	$1,588.94
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 $1,189.34 / $1,564.94 / $2,496.54	Professional		$1,189.34	$1,564.94	$2,496.54