Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,801.74 / $5,463.90 / $11,627.00	Facility		$1,801.74	$5,463.90	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,801.74 / $1,801.74 / $3,551.33	Professional		$1,801.74	$1,801.74	$3,551.33
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 $1,409.73 / $1,969.73 / $3,197.69	Professional		$1,409.73	$1,969.73	$3,197.69
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 $1,617.37 / $1,692.55 / $3,000.42	Professional		$1,617.37	$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 $1,446.36 / $2,154.15 / $3,439.80	Professional		$1,446.36	$2,154.15	$3,439.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,620.69 / $2,242.77 / $3,414.20	Professional		$1,620.69	$2,242.77	$3,414.20
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 $1,662.48 / $2,176.65 / $3,427.80	Professional		$1,662.48	$2,176.65	$3,427.80