Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.00 / $9,496.00 / $11,627.00	Facility		$2,306.00	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.29 / $1,264.00 / $4,259.68	Professional		$873.29	$1,264.00	$4,259.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,398.00 / $27,660.50 / $47,489.23	Facility		$7,398.00	$27,660.50	$47,489.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,478.86 / $1,986.88 / $2,964.67	Professional		$1,478.86	$1,986.88	$2,964.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,110.36 / $16,580.18 / $33,914.03	Facility		$1,110.36	$16,580.18	$33,914.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,110.36 / $17,296.15 / $30,522.63	Professional		$1,110.36	$17,296.15	$30,522.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,613.00 / $20,065.00 / $23,000.00	Facility		$11,613.00	$20,065.00	$23,000.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,046.00 / $19,503.00 / $21,036.00	Facility		$9,046.00	$19,503.00	$21,036.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,475.04 / $2,414.08 / $3,396.63	Professional		$1,475.04	$2,414.08	$3,396.63