Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.19 / $7,342.00 / $11,627.00	Facility		$2,337.19	$7,342.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,221.69 / $2,337.19 / $4,068.05	Professional		$2,221.69	$2,337.19	$4,068.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,170.27 / $2,795.26 / $4,531.27	Professional		$2,170.27	$2,795.26	$4,531.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,593.38 / $3,776.32 / $3,776.32	Facility		$2,593.38	$3,776.32	$3,776.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,586.26 / $2,796.78 / $2,796.78	Professional		$2,586.26	$2,796.78	$2,796.78
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 $2,286.35 / $3,178.17 / $5,303.37	Professional		$2,286.35	$3,178.17	$5,303.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,377.27 / $3,474.79 / $5,303.37	Professional		$2,377.27	$3,474.79	$5,303.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.66 / $1,943.84 / $3,321.60	Professional		$301.66	$1,943.84	$3,321.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,725.00 / $2,740.00 / $5,457.00	Facility		$1,725.00	$2,740.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,182.83 / $2,834.84 / $5,578.15	Professional		$2,182.83	$2,834.84	$5,578.15