Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.65 / $8,553.00 / $11,627.00	Facility		$2,021.65	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,021.65 / $2,021.65 / $2,948.61	Professional		$2,021.65	$2,021.65	$2,948.61
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 $1,460.57 / $1,924.51 / $3,168.75	Professional		$1,460.57	$1,924.51	$3,168.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,736.04 / $1,736.04 / $2,527.91	Facility		$1,736.04	$1,736.04	$2,527.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,377.23 / $1,872.20 / $1,872.20	Professional		$1,377.23	$1,872.20	$1,872.20
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 $1,557.73 / $2,373.12 / $3,461.21	Professional		$1,557.73	$2,373.12	$3,461.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,650.93 / $2,391.52 / $3,432.45	Professional		$1,650.93	$2,391.52	$3,432.45
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 $1,325.97 / $1,847.24 / $2,648.80	Professional		$1,325.97	$1,847.24	$2,648.80