Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,078.00 / $5,753.18 / $10,817.74	Facility		$2,078.00	$5,753.18	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,917.83 / $1,917.83 / $5,753.18	Professional		$1,917.83	$1,917.83	$5,753.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $3,974.00 / $19,117.00	Facility		$2,009.00	$3,974.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,408.90 / $1,849.89 / $3,056.66	Professional		$1,408.90	$1,849.89	$3,056.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,674.64 / $1,674.64 / $2,438.50	Facility		$1,674.64	$1,674.64	$2,438.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,260.94 / $1,805.98 / $1,805.98	Professional		$1,260.94	$1,805.98	$1,805.98
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 $1,707.47 / $2,298.52 / $3,406.53	Professional		$1,707.47	$2,298.52	$3,406.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,773.02 / $2,315.69 / $3,406.53	Professional		$1,773.02	$2,315.69	$3,406.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.90 / $1,482.80 / $2,302.23	Professional		$148.90	$1,482.80	$2,302.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,727.28 / $2,272.73 / $3,633.80	Professional		$1,727.28	$2,272.73	$3,633.80