Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.47 / $5,358.34 / $11,627.00	Facility		$1,729.47	$5,358.34	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,729.47 / $1,753.33 / $3,372.47	Professional		$1,729.47	$1,753.33	$3,372.47
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 $1,017.12 / $1,565.98 / $2,619.66	Professional		$1,017.12	$1,565.98	$2,619.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,506.89 / $1,506.89 / $2,194.23	Facility		$1,506.89	$1,506.89	$2,194.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,625.07 / $1,625.07 / $1,744.36	Professional		$1,625.07	$1,625.07	$1,744.36
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 $1,376.92 / $2,068.27 / $3,164.18	Professional		$1,376.92	$2,068.27	$3,164.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,551.21 / $2,086.26 / $3,036.25	Professional		$1,551.21	$2,086.26	$3,036.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,376.67 / $1,813.53 / $2,389.87	Professional		$1,376.67	$1,813.53	$2,389.87
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 $1,414.43 / $1,994.75 / $3,324.58	Professional		$1,414.43	$1,994.75	$3,324.58