Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,943.51 / $6,577.00 / $11,627.00	Facility		$1,943.51	$6,577.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,943.51 / $1,943.51 / $3,825.05	Professional		$1,943.51	$1,943.51	$3,825.05
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 $1,580.09 / $2,073.88 / $3,428.05	Professional		$1,580.09	$2,073.88	$3,428.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,692.29 / $1,692.29 / $2,464.19	Facility		$1,692.29	$1,692.29	$2,464.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,825.02 / $1,825.02 / $1,974.68	Professional		$1,825.02	$1,825.02	$1,974.68
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 $1,518.69 / $2,331.17 / $3,724.00	Professional		$1,518.69	$2,331.17	$3,724.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,742.07 / $2,539.08 / $3,684.30	Professional		$1,742.07	$2,539.08	$3,684.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,519.24 / $2,322.63	Professional		$149.16	$1,519.24	$2,322.63
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 $1,771.72 / $2,292.80 / $3,696.30	Professional		$1,771.72	$2,292.80	$3,696.30