Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,070.67 / $6,410.00 / $11,581.00	Facility		$2,070.67	$6,410.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.67 / $2,070.67 / $3,579.55	Professional		$1,983.67	$2,070.67	$3,579.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.07 / $1,266.84 / $2,241.03	Professional		$998.07	$1,266.84	$2,241.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,286.84 / $4,203.75 / $13,455.71	Facility		$2,286.84	$4,203.75	$13,455.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,371.89 / $4,371.89 / $4,371.89	Professional		$4,371.89	$4,371.89	$4,371.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,002.29 / $2,802.70 / $4,821.96	Professional		$2,002.29	$2,802.70	$4,821.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,096.42 / $3,022.16 / $4,683.72	Professional		$2,096.42	$3,022.16	$4,683.72
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 $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,917.16 / $2,489.82 / $4,221.68	Professional		$1,917.16	$2,489.82	$4,221.68