Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,565.99 / $6,582.00 / $11,627.00	Facility		$1,565.99	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.15 / $1,583.93 / $4,102.89	Professional		$1,362.15	$1,583.93	$4,102.89
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 $1,206.75 / $1,703.65 / $2,833.03	Professional		$1,206.75	$1,703.65	$2,833.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,364.23 / $1,364.23 / $1,986.50	Facility		$1,364.23	$1,364.23	$1,986.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,471.23 / $1,471.23 / $1,799.39	Professional		$1,471.23	$1,471.23	$1,799.39
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 $1,309.38 / $2,045.43 / $2,973.64	Professional		$1,309.38	$2,045.43	$2,973.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,404.35 / $2,073.09 / $3,045.50	Professional		$1,404.35	$2,073.09	$3,045.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,222.71 / $1,871.70	Professional		$112.99	$1,222.71	$1,871.70
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 $1,441.24 / $1,895.14 / $2,909.25	Professional		$1,441.24	$1,895.14	$2,909.25