Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.21 / $6,523.95 / $11,627.00	Facility		$2,145.21	$6,523.95	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,145.21 / $2,210.26 / $5,620.45	Professional		$2,145.21	$2,210.26	$5,620.45
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 $1,621.41 / $2,372.96 / $3,986.94	Professional		$1,621.41	$2,372.96	$3,986.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,868.90 / $1,868.90 / $2,721.37	Facility		$1,868.90	$1,868.90	$2,721.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,015.49 / $2,015.49 / $2,531.54	Professional		$2,015.49	$2,015.49	$2,531.54
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 $1,734.21 / $2,839.81 / $4,071.94	Professional		$1,734.21	$2,839.81	$4,071.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,923.88 / $2,840.01 / $3,879.45	Professional		$1,923.88	$2,840.01	$3,879.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,660.64 / $2,564.24	Professional		$149.16	$1,660.64	$2,564.24
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 $1,978.24 / $2,549.28 / $4,000.72	Professional		$1,978.24	$2,549.28	$4,000.72