Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,587.16 / $7,856.42 / $11,627.00	Facility		$2,587.16	$7,856.42	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,587.16 / $2,661.93 / $6,778.36	Professional		$2,587.16	$2,661.93	$6,778.36
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 $1,962.34 / $2,845.39 / $4,825.27	Professional		$1,962.34	$2,845.39	$4,825.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,252.94 / $2,252.94 / $3,280.61	Facility		$2,252.94	$2,252.94	$3,280.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,429.66 / $2,429.66 / $2,744.21	Professional		$2,429.66	$2,429.66	$2,744.21
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 $2,061.94 / $3,136.12 / $4,675.58	Professional		$2,061.94	$3,136.12	$4,675.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,319.21 / $3,274.25 / $4,624.92	Professional		$2,319.21	$3,274.25	$4,624.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $2,027.02 / $3,098.28	Professional		$183.77	$2,027.02	$3,098.28
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 $2,333.44 / $3,063.74 / $4,817.68	Professional		$2,333.44	$3,063.74	$4,817.68