Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.06 / $5,150.70 / $11,627.00	Facility		$1,704.06	$5,150.70	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.06 / $1,725.26 / $4,464.64	Professional		$1,704.06	$1,725.26	$4,464.64
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 $1,295.57 / $1,981.46 / $3,359.86	Professional		$1,295.57	$1,981.46	$3,359.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,486.79 / $1,486.79 / $2,164.98	Facility		$1,486.79	$1,486.79	$2,164.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,603.40 / $1,603.40 / $2,116.11	Professional		$1,603.40	$1,603.40	$2,116.11
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 $1,431.25 / $2,224.13 / $3,231.09	Professional		$1,431.25	$2,224.13	$3,231.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,527.31 / $2,259.34 / $3,314.35	Professional		$1,527.31	$2,259.34	$3,314.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,333.29 / $2,045.21	Professional		$112.99	$1,333.29	$2,045.21
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 $1,533.92 / $1,994.91 / $3,161.21	Professional		$1,533.92	$1,994.91	$3,161.21