Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.50 / $8,037.00 / $11,754.00	Facility		$1,808.50	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.52 / $1,216.21 / $3,218.84	Professional		$1,162.52	$1,216.21	$3,218.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.07 / $1,455.48 / $2,419.83	Professional		$1,010.07	$1,455.48	$2,419.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,121.33 / $1,345.60 / $1,665.47	Facility		$1,121.33	$1,345.60	$1,665.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,233.46 / $1,233.46 / $1,419.85	Professional		$1,233.46	$1,233.46	$1,419.85
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 $963.84 / $1,686.63 / $2,417.44	Professional		$963.84	$1,686.63	$2,417.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,121.33 / $1,689.31 / $2,455.55	Professional		$1,121.33	$1,689.31	$2,455.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,131.22 / $1,631.60	Professional		$115.97	$1,131.22	$1,631.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,066.96 / $1,455.14 / $2,499.82	Professional		$1,066.96	$1,455.14	$2,499.82