Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.59 / $8,037.00 / $11,754.00	Facility		$1,868.59	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.73 / $1,392.73 / $3,648.95	Professional		$1,392.73	$1,392.73	$3,648.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,304.00 / $3,232.00 / $8,800.00	Facility		$1,304.00	$3,232.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.79 / $1,740.52 / $2,989.57	Professional		$1,289.79	$1,740.52	$2,989.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,405.46 / $1,686.55 / $2,635.25	Facility		$1,405.46	$1,686.55	$2,635.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,546.01 / $1,546.01 / $2,740.65	Professional		$1,546.01	$1,546.01	$2,740.65
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 $1,193.22 / $1,967.65 / $3,007.69	Professional		$1,193.22	$1,967.65	$3,007.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,405.46 / $2,143.12 / $2,968.67	Professional		$1,405.46	$2,143.12	$2,968.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $1,244.36 / $2,000.04	Professional		$119.20	$1,244.36	$2,000.04
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 $1,403.64 / $1,897.37 / $3,146.44	Professional		$1,403.64	$1,897.37	$3,146.44