Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,660.15 / $8,553.00 / $11,627.00	Facility		$1,660.15	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.23 / $1,660.15 / $2,700.27	Professional		$1,072.23	$1,660.15	$2,700.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.27 / $1,770.27 / $2,925.11	Professional		$1,348.27	$1,770.27	$2,925.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,443.47 / $1,443.47 / $2,101.88	Facility		$1,443.47	$1,443.47	$2,101.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,377.23 / $1,556.68 / $1,556.68	Professional		$1,377.23	$1,556.68	$1,556.68
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 $1,278.34 / $1,840.25 / $2,962.89	Professional		$1,278.34	$1,840.25	$2,962.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,415.58 / $1,965.96 / $2,905.84	Professional		$1,415.58	$1,965.96	$2,905.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $971.59 / $1,214.48 / $1,408.80	Professional		$971.59	$1,214.48	$1,408.80
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 $1,334.30 / $1,824.80 / $2,648.80	Professional		$1,334.30	$1,824.80	$2,648.80