Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.53 / $6,799.55 / $11,627.00	Facility		$2,234.53	$6,799.55	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,234.53 / $2,303.40 / $5,854.47	Professional		$2,234.53	$2,303.40	$5,854.47
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 $1,667.83 / $2,189.86 / $3,915.49	Professional		$1,667.83	$2,189.86	$3,915.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,946.53 / $1,946.53 / $2,834.41	Facility		$1,946.53	$1,946.53	$2,834.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,826.80 / $2,099.19 / $2,099.19	Professional		$1,826.80	$2,099.19	$2,099.19
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 $1,783.69 / $2,671.70 / $4,244.18	Professional		$1,783.69	$2,671.70	$4,244.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,993.53 / $2,918.78 / $4,040.85	Professional		$1,993.53	$2,918.78	$4,040.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,960.77 / $2,775.75	Professional		$184.79	$1,960.77	$2,775.75
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 $2,060.50 / $2,653.86 / $4,167.54	Professional		$2,060.50	$2,653.86	$4,167.54