Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,149.94 / $6,582.00 / $11,627.00	Facility		$2,149.94	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,149.94 / $2,168.30 / $5,632.84	Professional		$2,149.94	$2,168.30	$5,632.84
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 $1,464.10 / $2,111.05 / $3,437.18	Professional		$1,464.10	$2,111.05	$3,437.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,872.42 / $1,872.42 / $2,726.49	Facility		$1,872.42	$1,872.42	$2,726.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,019.27 / $2,019.27 / $2,244.33	Professional		$2,019.27	$2,019.27	$2,244.33
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 $1,719.30 / $2,569.98 / $3,893.23	Professional		$1,719.30	$2,569.98	$3,893.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,927.49 / $2,800.44 / $3,842.42	Professional		$1,927.49	$2,800.44	$3,842.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,887.09 / $2,665.40	Professional		$184.79	$1,887.09	$2,665.40
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 $1,921.57 / $2,535.02 / $4,017.10	Professional		$1,921.57	$2,535.02	$4,017.10