Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,046.17 / $6,609.49 / $11,627.00	Facility		$2,046.17	$6,609.49	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,954.59 / $2,046.17 / $4,050.05	Professional		$1,954.59	$2,046.17	$4,050.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.29 / $1,543.69 / $2,962.04	Professional		$1,092.29	$1,543.69	$2,962.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,945.46 / $2,334.55 / $2,889.51	Facility		$1,945.46	$2,334.55	$2,889.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,488.30 / $2,140.01 / $2,140.01	Professional		$1,488.30	$2,140.01	$2,140.01
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 $1,438.50 / $2,677.09 / $4,055.57	Professional		$1,438.50	$2,677.09	$4,055.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,483.17 / $2,723.64 / $4,027.55	Professional		$1,483.17	$2,723.64	$4,027.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,782.38 / $2,807.45	Professional		$185.93	$1,782.38	$2,807.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,727.84 / $2,542.11 / $4,489.72	Professional		$1,727.84	$2,542.11	$4,489.72