Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.41 / $2,571.88 / $3,946.72	Facility		$2,020.41	$2,571.88	$3,946.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.16 / $983.72 / $2,742.96	Professional		$948.16	$983.72	$2,742.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1,570.40 / $2,617.33	Facility		$0.03	$1,570.40	$2,617.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,765.12	Professional		$1,046.93	$1,046.93	$1,765.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,413.36 / $1,413.36 / $2,402.71	Facility		$1,413.36	$1,413.36	$2,402.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,413.36	Professional		$1,046.93	$1,046.93	$1,413.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,585.04	Professional		$1,046.93	$1,046.93	$1,585.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,585.04	Professional		$1,046.93	$1,046.93	$1,585.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,151.62 / $1,308.66 / $1,518.04	Professional		$1,151.62	$1,308.66	$1,518.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,269.34	Professional		$1,185.20	$1,185.20	$1,269.34