Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,643.47 / $5,492.00 / $11,627.00	Facility		$1,643.47	$5,492.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.92 / $1,643.47 / $2,892.05	Professional		$1,575.92	$1,643.47	$2,892.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $12,455.21 / $21,287.94	Facility		$4,142.00	$12,455.21	$21,287.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.96 / $1,736.23 / $3,024.34	Professional		$1,323.96	$1,736.23	$3,024.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,515.04 / $1,818.05 / $2,250.23	Facility		$1,515.04	$1,818.05	$2,250.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,666.54 / $1,666.54 / $1,672.74	Professional		$1,666.54	$1,666.54	$1,672.74
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 $1,283.44 / $2,121.05 / $3,269.65	Professional		$1,283.44	$2,121.05	$3,269.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,491.79 / $2,301.59 / $3,159.06	Professional		$1,491.79	$2,301.59	$3,159.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $1,561.10 / $2,250.83	Professional		$155.61	$1,561.10	$2,250.83
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 $1,451.20 / $2,039.14 / $3,455.52	Professional		$1,451.20	$2,039.14	$3,455.52