Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,001.73 / $6,383.94 / $11,627.00	Facility		$2,001.73	$6,383.94	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.75 / $1,819.75 / $4,619.08	Professional		$1,819.75	$1,819.75	$4,619.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,604.27 / $2,170.48 / $3,847.61	Professional		$1,604.27	$2,170.48	$3,847.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,836.52 / $2,203.82 / $3,443.48	Facility		$1,836.52	$2,203.82	$3,443.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,020.17 / $2,020.17 / $3,581.22	Professional		$2,020.17	$2,020.17	$3,581.22
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 $1,559.51 / $2,571.13 / $3,930.16	Professional		$1,559.51	$2,571.13	$3,930.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,836.52 / $2,681.51 / $3,875.18	Professional		$1,836.52	$2,681.51	$3,875.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $1,590.60 / $2,563.55	Professional		$157.85	$1,590.60	$2,563.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,579.00 / $10,989.00	Facility		$3,793.00	$6,579.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,807.02 / $2,479.30 / $4,086.83	Professional		$1,807.02	$2,479.30	$4,086.83