Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,691.23 / $5,135.00 / $11,627.00	Facility		$1,691.23	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.23 / $1,708.89 / $4,431.02	Professional		$1,691.23	$1,708.89	$4,431.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,265.68 / $1,663.02 / $2,971.37	Professional		$1,265.68	$1,663.02	$2,971.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,475.03 / $1,475.03 / $2,147.85	Facility		$1,475.03	$1,475.03	$2,147.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,384.44 / $1,590.72 / $1,590.72	Professional		$1,384.44	$1,590.72	$1,590.72
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 $1,348.16 / $2,024.56 / $3,212.28	Professional		$1,348.16	$2,024.56	$3,212.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,506.77 / $2,208.81 / $3,056.63	Professional		$1,506.77	$2,208.81	$3,056.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,312.69 / $2,035.06	Professional		$112.99	$1,312.69	$2,035.06
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 $1,527.06 / $2,009.29 / $3,149.94	Professional		$1,527.06	$2,009.29	$3,149.94