Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,801.74 / $6,582.00 / $11,627.00	Facility		$1,801.74	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,801.74 / $1,801.74 / $3,545.69	Professional		$1,801.74	$1,801.74	$3,545.69
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 $1,231.92 / $1,770.17 / $2,942.81	Professional		$1,231.92	$1,770.17	$2,942.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,569.46 / $2,285.33 / $2,885.03	Facility		$1,569.46	$2,285.33	$2,885.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,415.69 / $1,692.55 / $3,000.42	Professional		$1,415.69	$1,692.55	$3,000.42
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 $1,376.13 / $2,154.15 / $3,404.60	Professional		$1,376.13	$2,154.15	$3,404.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,487.11 / $2,173.73 / $3,404.60	Professional		$1,487.11	$2,173.73	$3,404.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,388.98 / $2,125.35	Professional		$149.16	$1,388.98	$2,125.35
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 $1,675.30 / $2,228.02 / $3,526.28	Professional		$1,675.30	$2,228.02	$3,526.28