Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.15 / $6,582.00 / $11,627.00	Facility		$2,159.15	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,159.15 / $2,181.73 / $5,656.97	Professional		$2,159.15	$2,181.73	$5,656.97
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 $1,648.57 / $2,417.44 / $4,105.49	Professional		$1,648.57	$2,417.44	$4,105.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,882.22 / $1,882.22 / $2,740.78	Facility		$1,882.22	$1,882.22	$2,740.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,029.85 / $2,029.85 / $2,668.40	Professional		$2,029.85	$2,029.85	$2,668.40
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 $1,740.45 / $2,678.95 / $3,895.92	Professional		$1,740.45	$2,678.95	$3,895.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,936.92 / $2,828.00 / $3,885.38	Professional		$1,936.92	$2,828.00	$3,885.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,668.49 / $2,570.60	Professional		$149.16	$1,668.49	$2,570.60
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 $1,985.24 / $2,548.94 / $4,346.71	Professional		$1,985.24	$2,548.94	$4,346.71