Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.15 / $7,047.00 / $11,627.00	Facility		$1,532.15	$7,047.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,532.15 / $1,549.62 / $2,838.38	Professional		$1,532.15	$1,549.62	$2,838.38
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 $1,149.73 / $1,648.19 / $2,699.15	Professional		$1,149.73	$1,648.19	$2,699.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,335.70 / $1,335.70 / $1,944.96	Facility		$1,335.70	$1,335.70	$1,944.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,440.46 / $1,440.46 / $1,871.31	Professional		$1,440.46	$1,440.46	$1,871.31
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 $1,239.45 / $1,995.25 / $2,760.69	Professional		$1,239.45	$1,995.25	$2,760.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,371.07 / $2,010.10 / $2,862.78	Professional		$1,371.07	$2,010.10	$2,862.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,187.12 / $1,825.05	Professional		$112.99	$1,187.12	$1,825.05
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 $1,377.92 / $1,814.39 / $3,084.46	Professional		$1,377.92	$1,814.39	$3,084.46