Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.89 / $8,553.00 / $243,323.85	Facility		$1,466.89	$8,553.00	$243,323.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.89 / $1,507.72 / $3,843.25	Professional		$1,466.89	$1,507.72	$3,843.25
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 $1,143.67 / $1,614.58 / $2,684.92	Professional		$1,143.67	$1,614.58	$2,684.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,278.41 / $1,278.41 / $1,861.54	Facility		$1,278.41	$1,278.41	$1,861.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,378.67 / $1,378.67 / $1,725.49	Professional		$1,378.67	$1,378.67	$1,725.49
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 $1,244.38 / $1,942.68 / $2,785.96	Professional		$1,244.38	$1,942.68	$2,785.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,316.01 / $1,970.65 / $2,859.66	Professional		$1,316.01	$1,970.65	$2,859.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,152.63 / $1,773.11	Professional		$112.99	$1,152.63	$1,773.11
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 $1,321.33 / $1,741.78 / $2,786.53	Professional		$1,321.33	$1,741.78	$2,786.53