Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,255.19 / $6,863.25 / $11,627.00	Facility		$2,255.19	$6,863.25	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,255.19 / $2,324.83 / $5,908.62	Professional		$2,255.19	$2,324.83	$5,908.62
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 $1,446.46 / $2,212.23 / $3,731.42	Professional		$1,446.46	$2,212.23	$3,731.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,965.48 / $1,965.48 / $2,862.01	Facility		$1,965.48	$1,965.48	$2,862.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,119.63 / $2,119.63 / $2,362.58	Professional		$2,119.63	$2,119.63	$2,362.58
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 $1,800.16 / $2,697.71 / $4,080.62	Professional		$1,800.16	$2,697.71	$4,080.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,011.95 / $2,722.57 / $4,017.71	Professional		$2,011.95	$2,722.57	$4,017.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $2,000.32 / $2,829.12	Professional		$184.79	$2,000.32	$2,829.12
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 $1,981.17 / $2,601.37 / $4,377.58	Professional		$1,981.17	$2,601.37	$4,377.58