Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,393.28 / $7,302.04 / $11,627.00	Facility		$2,393.28	$7,302.04	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,393.28 / $2,412.58 / $6,270.39	Professional		$2,393.28	$2,412.58	$6,270.39
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 $1,691.60 / $2,324.67 / $3,961.23	Professional		$1,691.60	$2,324.67	$3,961.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,083.61 / $2,083.61 / $3,034.02	Facility		$2,083.61	$2,083.61	$3,034.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,187.44 / $2,247.03 / $2,247.03	Professional		$2,187.44	$2,247.03	$2,247.03
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 $1,916.91 / $2,907.72 / $4,335.64	Professional		$1,916.91	$2,907.72	$4,335.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,142.42 / $3,009.12 / $4,286.96	Professional		$2,142.42	$3,009.12	$4,286.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,841.12 / $2,834.60	Professional		$183.77	$1,841.12	$2,834.60
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 $2,165.44 / $2,823.91 / $4,575.76	Professional		$2,165.44	$2,823.91	$4,575.76