Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,730.50 / $9,402.00 / $12,096.23	Facility		$4,730.50	$9,402.00	$12,096.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,696.00 / $8,989.00 / $11,679.00	Professional		$3,696.00	$8,989.00	$11,679.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $5,668.00 / $15,697.00	Facility		$1,760.00	$5,668.00	$15,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $243.28 / $812.26	Professional		$206.78	$243.28	$812.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.87 / $178.87 / $72,899.27	Facility		$178.87	$178.87	$72,899.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.27 / $252.27 / $252.27	Professional		$252.27	$252.27	$252.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $252.27 / $252.27 / $252.27	Professional		$252.27	$252.27	$252.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $15,469.00	Facility		$4,873.00	$10,707.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.12 / $242.35 / $387.36	Professional		$184.12	$242.35	$387.36