Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $8,399.00 / $11,581.00	Facility		$2,380.00	$8,399.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,216.98 / $2,313.91 / $4,000.65	Professional		$2,216.98	$2,313.91	$4,000.65
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 $1,085.61 / $1,377.97 / $2,443.98	Professional		$1,085.61	$1,377.97	$2,443.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,555.87 / $4,698.29 / $13,455.71	Facility		$2,555.87	$4,698.29	$13,455.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,886.22 / $4,886.22 / $4,886.22	Professional		$4,886.22	$4,886.22	$4,886.22
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 $2,237.67 / $3,132.43 / $5,343.69	Professional		$2,237.67	$3,132.43	$5,343.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,343.06 / $3,378.21 / $5,234.93	Professional		$2,343.06	$3,378.21	$5,234.93
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 $2,156.80 / $2,782.51 / $4,701.82	Professional		$2,156.80	$2,782.51	$4,701.82