Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.65 / $7,088.64 / $11,627.00	Facility		$2,326.65	$7,088.64	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.65 / $2,399.58 / $6,095.82	Professional		$2,326.65	$2,399.58	$6,095.82
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 $1,754.63 / $2,447.37 / $4,119.25	Professional		$1,754.63	$2,447.37	$4,119.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,026.28 / $2,026.28 / $2,950.55	Facility		$2,026.28	$2,026.28	$2,950.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,185.21 / $2,185.21 / $2,674.17	Professional		$2,185.21	$2,185.21	$2,674.17
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 $1,860.88 / $3,034.95 / $4,420.24	Professional		$1,860.88	$3,034.95	$4,420.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,085.88 / $3,049.35 / $4,210.72	Professional		$2,085.88	$3,049.35	$4,210.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,832.37 / $2,804.93	Professional		$183.77	$1,832.37	$2,804.93
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 $2,079.81 / $2,741.68 / $4,347.89	Professional		$2,079.81	$2,741.68	$4,347.89