Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.14 / $5,846.00 / $11,627.00	Facility		$1,579.14	$5,846.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,579.14 / $1,589.29 / $3,079.32	Professional		$1,579.14	$1,589.29	$3,079.32
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 $1,157.36 / $1,600.70 / $2,559.51	Professional		$1,157.36	$1,600.70	$2,559.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,378.67 / $2,007.52 / $2,534.31	Facility		$1,378.67	$2,007.52	$2,534.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,486.79 / $1,534.53 / $2,635.68	Professional		$1,486.79	$1,534.53	$2,635.68
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 $1,261.19 / $1,892.28 / $2,870.81	Professional		$1,261.19	$1,892.28	$2,870.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,419.21 / $2,014.32 / $2,727.73	Professional		$1,419.21	$2,014.32	$2,727.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,234.84 / $1,903.52	Professional		$112.99	$1,234.84	$1,903.52
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 $1,444.09 / $1,852.76 / $2,946.75	Professional		$1,444.09	$1,852.76	$2,946.75