Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.14 / $6,582.00 / $11,627.00	Facility		$2,041.14	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.14 / $2,098.50 / $5,347.79	Professional		$2,041.14	$2,098.50	$5,347.79
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 $1,551.77 / $2,265.19 / $3,815.69	Professional		$1,551.77	$2,265.19	$3,815.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,780.04 / $1,780.04 / $2,592.00	Facility		$1,780.04	$1,780.04	$2,592.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,919.65 / $1,919.65 / $2,461.89	Professional		$1,919.65	$1,919.65	$2,461.89
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 $1,640.44 / $2,511.86 / $3,686.53	Professional		$1,640.44	$2,511.86	$3,686.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,832.40 / $2,665.79 / $3,657.26	Professional		$1,832.40	$2,665.79	$3,657.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,610.46 / $2,463.79	Professional		$149.16	$1,610.46	$2,463.79
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 $1,877.42 / $2,419.81 / $3,847.88	Professional		$1,877.42	$2,419.81	$3,847.88