Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.15 / $4,723.00 / $11,627.00	Facility		$1,393.15	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.15 / $1,406.23 / $2,716.64	Professional		$1,393.15	$1,406.23	$2,716.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.16 / $1,448.37 / $2,310.89	Professional		$1,065.16	$1,448.37	$2,310.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,138.16 / $1,657.33 / $1,778.39	Facility		$1,138.16	$1,657.33	$1,778.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,227.44 / $1,277.75 / $2,175.92	Professional		$1,227.44	$1,277.75	$2,175.92
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 $1,048.90 / $1,562.18 / $2,520.41	Professional		$1,048.90	$1,562.18	$2,520.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,227.43 / $1,712.82 / $2,510.39	Professional		$1,227.43	$1,712.82	$2,510.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,090.15 / $1,585.46	Professional		$106.74	$1,090.15	$1,585.46
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 $1,283.34 / $1,653.80 / $2,655.23	Professional		$1,283.34	$1,653.80	$2,655.23