Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.64 / $5,135.00 / $11,627.00	Facility		$1,471.64	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.64 / $1,490.19 / $3,855.70	Professional		$1,471.64	$1,490.19	$3,855.70
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 $1,110.38 / $1,698.22 / $2,888.92	Professional		$1,110.38	$1,698.22	$2,888.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,284.72 / $1,284.72 / $1,870.73	Facility		$1,284.72	$1,284.72	$1,870.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,385.48 / $1,385.48 / $1,540.07	Professional		$1,385.48	$1,385.48	$1,540.07
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 $1,226.43 / $1,952.27 / $2,785.13	Professional		$1,226.43	$1,952.27	$2,785.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,314.16 / $1,959.16 / $2,897.14	Professional		$1,314.16	$1,959.16	$2,897.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,136.34 / $1,762.26	Professional		$112.99	$1,136.34	$1,762.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.03 / $1,718.93 / $2,718.66	Professional		$1,322.03	$1,718.93	$2,718.66