Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,540.54 / $5,135.00 / $11,627.00	Facility		$1,540.54	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,540.54 / $1,541.20 / $3,047.07	Professional		$1,540.54	$1,541.20	$3,047.07
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 $1,070.81 / $1,511.73 / $2,566.38	Professional		$1,070.81	$1,511.73	$2,566.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,342.81 / $1,955.31 / $2,468.40	Facility		$1,342.81	$1,955.31	$2,468.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,296.33 / $1,448.13 / $2,567.13	Professional		$1,296.33	$1,448.13	$2,567.13
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 $1,222.38 / $1,843.08 / $2,969.09	Professional		$1,222.38	$1,843.08	$2,969.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,316.48 / $1,846.95 / $2,917.55	Professional		$1,316.48	$1,846.95	$2,917.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,292.82 / $1,889.12	Professional		$106.74	$1,292.82	$1,889.12
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 $1,420.93 / $1,860.40 / $2,991.64	Professional		$1,420.93	$1,860.40	$2,991.64