Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,019.35 / $7,155.00 / $11,627.00	Facility		$2,019.35	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,019.35 / $2,025.45 / $5,290.70	Professional		$2,019.35	$2,025.45	$5,290.70
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 $1,539.95 / $2,206.81 / $3,615.26	Professional		$1,539.95	$2,206.81	$3,615.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,760.12 / $1,760.12 / $2,562.98	Facility		$1,760.12	$1,760.12	$2,562.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,898.17 / $1,898.17 / $2,377.54	Professional		$1,898.17	$1,898.17	$2,377.54
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 $1,674.48 / $2,674.69 / $3,828.19	Professional		$1,674.48	$2,674.69	$3,828.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,811.57 / $2,702.29 / $3,992.04	Professional		$1,811.57	$2,702.29	$3,992.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,579.25 / $2,438.27	Professional		$149.16	$1,579.25	$2,438.27
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 $1,843.48 / $2,391.34 / $3,766.68	Professional		$1,843.48	$2,391.34	$3,766.68