Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.92 / $5,934.00 / $11,561.00	Facility		$1,446.92	$5,934.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.50 / $1,446.92 / $2,906.76	Professional		$1,190.50	$1,446.92	$2,906.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.75 / $1,480.60 / $2,557.46	Professional		$1,057.75	$1,480.60	$2,557.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,140.68 / $1,368.82 / $1,694.21	Facility		$1,140.68	$1,368.82	$1,694.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,471.08 / $1,516.34 / $1,516.34	Professional		$1,471.08	$1,516.34	$1,516.34
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 $1,228.60 / $1,778.25 / $2,650.11	Professional		$1,228.60	$1,778.25	$2,650.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,246.95 / $1,785.87 / $2,666.87	Professional		$1,246.95	$1,785.87	$2,666.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $1,410.22 / $2,036.02	Professional		$151.87	$1,410.22	$2,036.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,315.96 / $1,899.21 / $3,135.29	Professional		$1,315.96	$1,899.21	$3,135.29