Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.48 / $8,553.00 / $11,627.00	Facility		$1,817.48	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,817.48 / $1,817.48 / $2,958.20	Professional		$1,817.48	$1,817.48	$2,958.20
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 $1,838.42 / $2,411.14 / $3,988.51	Professional		$1,838.42	$2,411.14	$3,988.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,580.84 / $1,580.84 / $2,301.92	Facility		$1,580.84	$1,580.84	$2,301.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,666.57 / $1,704.84 / $1,704.84	Professional		$1,666.57	$1,704.84	$1,704.84
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 $1,402.30 / $2,015.36 / $3,243.46	Professional		$1,402.30	$2,015.36	$3,243.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,550.27 / $2,152.28 / $3,181.00	Professional		$1,550.27	$2,152.28	$3,181.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,175.71 / $1,469.63 / $1,704.77	Professional		$1,175.71	$1,469.63	$1,704.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.73 / $3,086.00 / $6,792.00	Facility		$1,480.73	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,480.75 / $1,998.99 / $3,014.57	Professional		$1,480.75	$1,998.99	$3,014.57