Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.51 / $6,582.00 / $11,627.00	Facility		$1,972.51	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,972.51 / $1,994.83 / $3,846.39	Professional		$1,972.51	$1,994.83	$3,846.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.99 / $1,839.76 / $3,845.65	Facility		$870.99	$1,839.76	$3,845.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,238.11 / $1,835.93 / $2,967.39	Professional		$1,238.11	$1,835.93	$2,967.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,720.08 / $1,720.08 / $2,504.67	Facility		$1,720.08	$1,720.08	$2,504.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,498.88 / $1,854.99 / $1,854.99	Professional		$1,498.88	$1,854.99	$1,854.99
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 $1,393.88 / $2,347.98 / $3,560.77	Professional		$1,393.88	$2,347.98	$3,560.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,585.17 / $2,360.89 / $3,433.01	Professional		$1,585.17	$2,360.89	$3,433.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,546.90 / $2,390.85	Professional		$149.16	$1,546.90	$2,390.85
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 $1,775.63 / $2,335.86 / $3,659.21	Professional		$1,775.63	$2,335.86	$3,659.21