Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.48 / $4,963.00 / $11,627.00	Facility		$1,452.48	$4,963.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.48 / $1,475.63 / $2,832.34	Professional		$1,452.48	$1,475.63	$2,832.34
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 $1,121.63 / $1,526.67 / $2,573.96	Professional		$1,121.63	$1,526.67	$2,573.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,268.70 / $1,268.70 / $1,847.40	Facility		$1,268.70	$1,268.70	$1,847.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,368.20 / $1,368.20 / $1,430.54	Professional		$1,368.20	$1,368.20	$1,430.54
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 $1,169.19 / $1,814.79 / $2,649.36	Professional		$1,169.19	$1,814.79	$2,649.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,308.20 / $1,908.21 / $2,643.50	Professional		$1,308.20	$1,908.21	$2,643.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,163.96 / $1,533.32 / $2,024.06	Professional		$1,163.96	$1,533.32	$2,024.06
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 $1,349.86 / $1,723.33 / $2,734.82	Professional		$1,349.86	$1,723.33	$2,734.82