Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.71 / $8,037.00 / $11,754.00	Facility		$1,974.71	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.88 / $1,455.88 / $4,115.60	Professional		$1,455.88	$1,455.88	$4,115.60
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 $1,315.36 / $1,767.62 / $3,088.01	Professional		$1,315.36	$1,767.62	$3,088.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,471.86 / $1,766.23 / $2,759.75	Facility		$1,471.86	$1,766.23	$2,759.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,619.05 / $1,619.05 / $2,870.13	Professional		$1,619.05	$1,619.05	$2,870.13
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 $1,253.57 / $2,060.61 / $3,139.62	Professional		$1,253.57	$2,060.61	$3,139.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,402.06 / $2,098.13 / $3,122.30	Professional		$1,402.06	$2,098.13	$3,122.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.17 / $1,291.09 / $2,083.53	Professional		$117.17	$1,291.09	$2,083.53
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 $1,358.82 / $1,857.68 / $3,192.84	Professional		$1,358.82	$1,857.68	$3,192.84