Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.17 / $5,154.10 / $11,627.00	Facility		$1,705.17	$5,154.10	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,705.17 / $1,741.93 / $4,467.55	Professional		$1,705.17	$1,741.93	$4,467.55
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 $1,292.06 / $1,976.09 / $3,317.88	Professional		$1,292.06	$1,976.09	$3,317.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,487.75 / $1,487.75 / $2,166.37	Facility		$1,487.75	$1,487.75	$2,166.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,604.44 / $1,604.44 / $2,110.39	Professional		$1,604.44	$1,604.44	$2,110.39
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 $1,412.51 / $2,235.36 / $3,233.89	Professional		$1,412.51	$2,235.36	$3,233.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,528.37 / $2,260.80 / $3,292.10	Professional		$1,528.37	$2,260.80	$3,292.10
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 $1,480.00 / $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 $1,567.26 / $1,996.68 / $3,147.16	Professional		$1,567.26	$1,996.68	$3,147.16