Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,940.90 / $8,037.00 / $11,754.00	Facility		$1,940.90	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.83 / $1,424.83 / $3,696.00	Professional		$1,424.83	$1,424.83	$3,696.00
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 $1,215.05 / $1,700.26 / $2,973.37	Professional		$1,215.05	$1,700.26	$2,973.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,437.96 / $1,725.55 / $2,696.18	Facility		$1,437.96	$1,725.55	$2,696.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,581.76 / $1,581.76 / $2,804.03	Professional		$1,581.76	$1,581.76	$2,804.03
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 $1,212.95 / $2,013.14 / $3,060.96	Professional		$1,212.95	$2,013.14	$3,060.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,274.59 / $2,054.53 / $3,060.96	Professional		$1,274.59	$2,054.53	$3,060.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $1,271.51 / $2,037.94	Professional		$117.17	$1,271.51	$2,037.94
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 $1,340.35 / $1,939.67 / $3,119.02	Professional		$1,340.35	$1,939.67	$3,119.02