Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,540.38 / $7,754.63 / $11,627.00	Facility		$2,540.38	$7,754.63	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,540.38 / $2,622.76 / $6,655.79	Professional		$2,540.38	$2,622.76	$6,655.79
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 $1,789.22 / $2,696.46 / $4,399.60	Professional		$1,789.22	$2,696.46	$4,399.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,211.50 / $2,211.50 / $3,220.25	Facility		$2,211.50	$2,211.50	$3,220.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,384.94 / $2,384.94 / $2,627.44	Professional		$2,384.94	$2,384.94	$2,627.44
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 $2,035.53 / $3,090.16 / $4,603.50	Professional		$2,035.53	$3,090.16	$4,603.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,275.00 / $3,146.08 / $4,553.18	Professional		$2,275.00	$3,146.08	$4,553.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,975.79 / $3,032.94	Professional		$183.77	$1,975.79	$3,032.94
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 $2,299.16 / $2,987.96 / $4,755.95	Professional		$2,299.16	$2,987.96	$4,755.95