Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,598.39 / $8,037.00 / $11,754.00	Facility		$1,598.39	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.92 / $1,173.92 / $3,288.80	Professional		$1,173.92	$1,173.92	$3,288.80
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 $1,032.09 / $1,481.97 / $2,545.67	Professional		$1,032.09	$1,481.97	$2,545.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,185.58 / $1,422.70 / $1,889.52	Facility		$1,185.58	$1,422.70	$1,889.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,304.14 / $1,304.14 / $2,311.88	Professional		$1,304.14	$1,304.14	$2,311.88
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 $1,011.44 / $1,659.81 / $2,519.17	Professional		$1,011.44	$1,659.81	$2,519.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,050.70 / $1,692.02 / $2,519.17	Professional		$1,050.70	$1,692.02	$2,519.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $1,050.92 / $1,686.33	Professional		$115.80	$1,050.92	$1,686.33
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 $1,137.41 / $1,567.28 / $2,571.13	Professional		$1,137.41	$1,567.28	$2,571.13