Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.92 / $8,037.00 / $11,754.00	Facility		$1,797.92	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.08 / $1,209.08 / $3,192.00	Professional		$1,209.08	$1,209.08	$3,192.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,932.00 / $12,098.50 / $22,852.30	Facility		$4,932.00	$12,098.50	$22,852.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.32 / $1,466.64 / $2,452.01	Professional		$1,032.32	$1,466.64	$2,452.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,173.28 / $1,407.94 / $1,742.63	Facility		$1,173.28	$1,407.94	$1,742.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,083.83 / $1,290.60 / $1,290.60	Professional		$1,083.83	$1,290.60	$1,290.60
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 $1,085.36 / $1,642.59 / $2,470.00	Professional		$1,085.36	$1,642.59	$2,470.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,171.69 / $1,720.38 / $2,471.51	Professional		$1,171.69	$1,720.38	$2,471.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $1,019.05 / $1,648.45	Professional		$158.13	$1,019.05	$1,648.45
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 $1,175.83 / $1,573.80 / $2,700.36	Professional		$1,175.83	$1,573.80	$2,700.36