Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,504.30 / $7,621.22 / $11,627.00	Facility		$2,504.30	$7,621.22	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,504.30 / $2,580.40 / $6,561.27	Professional		$2,504.30	$2,580.40	$6,561.27
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 $1,887.71 / $2,762.72 / $4,641.72	Professional		$1,887.71	$2,762.72	$4,641.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,180.39 / $2,180.39 / $3,174.95	Facility		$2,180.39	$2,180.39	$3,174.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,351.40 / $2,351.40 / $2,832.94	Professional		$2,351.40	$2,351.40	$2,832.94
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 $2,001.05 / $2,992.69 / $4,533.10	Professional		$2,001.05	$2,992.69	$4,533.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,244.52 / $3,055.15 / $4,449.03	Professional		$2,244.52	$3,055.15	$4,449.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,963.01 / $2,998.69	Professional		$183.77	$1,963.01	$2,998.69
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 $2,262.81 / $2,893.95 / $4,520.97	Professional		$2,262.81	$2,893.95	$4,520.97