Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.37 / $2,605.53 / $6,955.85	Facility		$2,326.37	$2,605.53	$6,955.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,326.37 / $2,326.37 / $5,699.61	Professional		$2,326.37	$2,326.37	$5,699.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.24 / $210.33 / $5,336.98	Facility		$119.24	$210.33	$5,336.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.97 / $148.88 / $2,960.42	Professional		$126.97	$148.88	$2,960.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $90.76 / $154.29	Facility		$90.76	$90.76	$154.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $90.76 / $90.76	Professional		$90.76	$90.76	$90.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $2,554.44	Facility		$2,554.44	$2,554.44	$2,554.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $3,846.07	Professional		$2,554.44	$2,554.44	$3,846.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,554.44 / $2,554.44 / $3,846.07	Professional		$2,554.44	$2,554.44	$3,846.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $973.70 / $1,391.00 / $1,474.46	Professional		$973.70	$1,391.00	$1,474.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,231.71 / $2,701.56 / $3,077.43	Professional		$2,231.71	$2,701.56	$3,077.43