Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,748.47 / $7,155.00 / $11,627.00	Facility		$1,748.47	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.47 / $1,748.47 / $3,047.21	Professional		$1,748.47	$1,748.47	$3,047.21
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 $1,678.03 / $2,211.05 / $3,548.60	Professional		$1,678.03	$2,211.05	$3,548.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,902.02 / $2,282.42 / $3,566.30	Facility		$1,902.02	$2,282.42	$3,566.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,092.21 / $2,092.21 / $3,708.95	Professional		$2,092.21	$2,092.21	$3,708.95
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 $1,760.66 / $2,662.83 / $4,070.33	Professional		$1,760.66	$2,662.83	$4,070.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,902.02 / $2,778.15 / $3,987.67	Professional		$1,902.02	$2,778.15	$3,987.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.47 / $1,554.02 / $2,592.26	Professional		$238.47	$1,554.02	$2,592.26
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 $1,764.45 / $2,620.33 / $4,202.81	Professional		$1,764.45	$2,620.33	$4,202.81