Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,679.97 / $5,135.00 / $11,627.00	Facility		$1,679.97	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,679.97 / $1,722.56 / $4,401.52	Professional		$1,679.97	$1,722.56	$4,401.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.07 / $1,948.58 / $3,347.06	Professional		$1,274.07	$1,948.58	$3,347.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,465.46 / $1,465.46 / $2,133.91	Facility		$1,465.46	$1,465.46	$2,133.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,580.40 / $1,580.40 / $2,081.00	Professional		$1,580.40	$1,580.40	$2,081.00
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 $1,379.83 / $2,194.94 / $3,182.98	Professional		$1,379.83	$2,194.94	$3,182.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,503.08 / $2,226.92 / $3,267.51	Professional		$1,503.08	$2,226.92	$3,267.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,284.76 / $2,027.73	Professional		$112.99	$1,284.76	$2,027.73
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 $1,521.74 / $1,987.64 / $3,122.82	Professional		$1,521.74	$1,987.64	$3,122.82