Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.60 / $5,995.96 / $32,660.32	Facility		$1,982.60	$5,995.96	$32,660.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,982.60 / $2,035.86 / $5,194.41	Professional		$1,982.60	$2,035.86	$5,194.41
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 $1,517.77 / $2,200.42 / $3,734.29	Professional		$1,517.77	$2,200.42	$3,734.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,729.15 / $1,729.15 / $2,517.89	Facility		$1,729.15	$1,729.15	$2,517.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,864.78 / $1,864.78 / $2,445.37	Professional		$1,864.78	$1,864.78	$2,445.37
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 $1,593.53 / $2,617.67 / $3,757.64	Professional		$1,593.53	$2,617.67	$3,757.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,777.41 / $2,627.63 / $3,577.14	Professional		$1,777.41	$2,627.63	$3,577.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,577.00 / $2,410.42	Professional		$149.16	$1,577.00	$2,410.42
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 $1,808.34 / $2,386.10 / $3,826.99	Professional		$1,808.34	$2,386.10	$3,826.99