Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,207.19 / $8,553.00 / $11,627.00	Facility		$2,207.19	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,207.19 / $2,207.19 / $3,589.99	Professional		$2,207.19	$2,207.19	$3,589.99
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 $2,818.72 / $3,697.83 / $6,115.31	Professional		$2,818.72	$3,697.83	$6,115.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,922.08 / $1,922.08 / $2,798.81	Facility		$1,922.08	$1,922.08	$2,798.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,684.83 / $2,072.83 / $2,072.83	Professional		$1,684.83	$2,072.83	$2,072.83
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 $1,703.11 / $2,582.02 / $3,946.45	Professional		$1,703.11	$2,582.02	$3,946.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,903.48 / $2,613.79 / $3,870.58	Professional		$1,903.48	$2,613.79	$3,870.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,188.58 / $1,485.73 / $1,723.45	Professional		$1,188.58	$1,485.73	$1,723.45
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 $1,632.32 / $2,214.71 / $3,071.02	Professional		$1,632.32	$2,214.71	$3,071.02