Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.96 / $6,471.21 / $11,627.00	Facility		$2,122.96	$6,471.21	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.15 / $2,122.96 / $4,058.79	Professional		$1,880.15	$2,122.96	$4,058.79
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 $1,637.04 / $2,157.04 / $3,551.60	Professional		$1,637.04	$2,157.04	$3,551.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,854.38 / $1,854.38 / $2,700.24	Facility		$1,854.38	$1,854.38	$2,700.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,999.82 / $1,999.82 / $2,134.53	Professional		$1,999.82	$1,999.82	$2,134.53
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 $1,708.93 / $2,545.21 / $3,858.23	Professional		$1,708.93	$2,545.21	$3,858.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,910.38 / $2,772.88 / $3,858.23	Professional		$1,910.38	$2,772.88	$3,858.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,859.66 / $2,610.77	Professional		$184.79	$1,859.66	$2,610.77
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 $1,961.79 / $2,514.04 / $3,993.69	Professional		$1,961.79	$2,514.04	$3,993.69