Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.70 / $2,540.89 / $4,294.52	Facility		$1,516.70	$2,540.89	$4,294.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,748.25	Professional		$1,645.41	$1,645.41	$1,748.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,123.55 / $1,859.66 / $4,010.69	Facility		$1,123.55	$1,859.66	$4,010.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,365.59 / $1,627.79 / $2,594.64	Professional		$1,365.59	$1,627.79	$2,594.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,850.49 / $2,260.78 / $2,763.17	Facility		$1,850.49	$2,260.78	$2,763.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,056.76	Professional		$1,748.25	$1,748.25	$2,056.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $2,619.63	Professional		$1,748.25	$1,748.25	$2,619.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $140.96 / $226.30	Professional		$129.93	$140.96	$226.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $2,231.59	Professional		$1,713.97	$1,713.97	$2,231.59