Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.98 / $6,049.29 / $11,627.00	Facility		$1,990.98	$6,049.29	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.28 / $2,012.11 / $3,708.09	Professional		$1,746.28	$2,012.11	$3,708.09
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 $1,507.44 / $2,228.76 / $3,563.78	Professional		$1,507.44	$2,228.76	$3,563.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,735.57 / $1,735.57 / $2,527.23	Facility		$1,735.57	$1,735.57	$2,527.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,871.69 / $1,871.69 / $2,462.17	Professional		$1,871.69	$1,871.69	$2,462.17
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 $1,611.03 / $2,612.86 / $3,602.52	Professional		$1,611.03	$2,612.86	$3,602.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,786.62 / $2,637.38 / $3,571.93	Professional		$1,786.62	$2,637.38	$3,571.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,563.76 / $2,395.27	Professional		$149.16	$1,563.76	$2,395.27
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 $1,848.31 / $2,339.76 / $3,456.93	Professional		$1,848.31	$2,339.76	$3,456.93