Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.13 / $7,179.12 / $11,627.00	Facility		$1,882.13	$7,179.12	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.13 / $1,882.13 / $3,281.18	Professional		$1,882.13	$1,882.13	$3,281.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,920.00 / $15,493.10 / $29,406.00	Facility		$5,920.00	$15,493.10	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,823.50 / $2,326.14 / $3,766.99	Professional		$1,823.50	$2,326.14	$3,766.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,047.48 / $2,456.98 / $3,839.03	Facility		$2,047.48	$2,456.98	$3,839.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,252.23 / $2,252.23 / $3,992.58	Professional		$2,252.23	$2,252.23	$3,992.58
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 $1,896.34 / $2,866.47 / $4,381.60	Professional		$1,896.34	$2,866.47	$4,381.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,047.48 / $3,065.80 / $4,293.85	Professional		$2,047.48	$3,065.80	$4,293.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.95 / $1,648.57 / $2,751.43	Professional		$276.95	$1,648.57	$2,751.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,882.13 / $2,751.76 / $4,526.66	Professional		$1,882.13	$2,751.76	$4,526.66