Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.47 / $7,748.88 / $11,627.00	Facility		$734.47	$7,748.88	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,505.83 / $2,505.83 / $7,748.88	Professional		$2,505.83	$2,505.83	$7,748.88
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 $2,112.13 / $2,718.70 / $4,302.78	Professional		$2,112.13	$2,718.70	$4,302.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,183.52 / $2,183.52 / $3,179.51	Facility		$2,183.52	$2,183.52	$3,179.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,165.73 / $2,354.78 / $2,354.78	Professional		$2,165.73	$2,354.78	$2,354.78
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 $2,039.70 / $2,996.99 / $4,828.79	Professional		$2,039.70	$2,996.99	$4,828.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,279.67 / $3,035.81 / $4,603.89	Professional		$2,279.67	$3,035.81	$4,603.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,004.02 / $2,638.23 / $3,481.97	Professional		$2,004.02	$2,638.23	$3,481.97
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 $2,329.98 / $3,508.29 / $5,233.64	Professional		$2,329.98	$3,508.29	$5,233.64