Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,422.71 / $8,553.00 / $11,627.00	Facility		$2,422.71	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,358.59 / $2,422.71 / $3,500.27	Professional		$2,358.59	$2,422.71	$3,500.27
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 $2,553.17 / $3,364.18 / $5,539.19	Professional		$2,553.17	$3,364.18	$5,539.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,985.36 / $1,985.36 / $2,890.97	Facility		$1,985.36	$1,985.36	$2,890.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,630.52 / $2,141.08 / $2,141.08	Professional		$1,630.52	$2,141.08	$2,141.08
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 $1,846.56 / $2,725.91 / $3,813.65	Professional		$1,846.56	$2,725.91	$3,813.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,916.78 / $2,813.14 / $3,740.35	Professional		$1,916.78	$2,813.14	$3,740.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,150.28 / $1,437.85 / $1,667.90	Professional		$1,150.28	$1,437.85	$1,667.90
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 $1,485.03 / $2,057.59 / $2,929.30	Professional		$1,485.03	$2,057.59	$2,929.30