Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,208.33 / $6,697.44 / $11,627.00	Facility		$2,208.33	$6,697.44	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,084.16 / $2,216.38 / $6,697.44	Professional		$2,084.16	$2,216.38	$6,697.44
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 $1,651.40 / $2,409.09 / $4,060.66	Professional		$1,651.40	$2,409.09	$4,060.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,924.69 / $1,924.69 / $2,802.61	Facility		$1,924.69	$1,924.69	$2,802.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,075.65 / $2,075.65 / $2,493.10	Professional		$2,075.65	$2,075.65	$2,493.10
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 $1,757.73 / $2,833.63 / $4,189.59	Professional		$1,757.73	$2,833.63	$4,189.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,981.30 / $2,883.42 / $3,989.79	Professional		$1,981.30	$2,883.42	$3,989.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,920.14 / $2,707.89	Professional		$184.79	$1,920.14	$2,707.89
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 $1,990.59 / $2,591.14 / $3,924.14	Professional		$1,990.59	$2,591.14	$3,924.14