Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,351.92 / $7,926.20 / $11,627.00	Facility		$2,351.92	$7,926.20	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,351.92 / $2,351.92 / $4,669.78	Professional		$2,351.92	$2,351.92	$4,669.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,489.11 / $24,772.14	Facility		$4,142.00	$14,489.11	$24,772.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,906.04 / $2,490.71 / $4,136.30	Professional		$1,906.04	$2,490.71	$4,136.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,239.85 / $2,687.82 / $3,326.76	Facility		$2,239.85	$2,687.82	$3,326.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,204.60 / $2,463.84 / $2,463.84	Professional		$2,204.60	$2,463.84	$2,463.84
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 $1,903.70 / $3,135.79 / $4,793.28	Professional		$1,903.70	$3,135.79	$4,793.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,073.41 / $3,182.77 / $4,737.68	Professional		$2,073.41	$3,182.77	$4,737.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.77 / $1,903.39 / $3,133.24	Professional		$236.77	$1,903.39	$3,133.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,988.44 / $3,008.14 / $5,280.46	Professional		$1,988.44	$3,008.14	$5,280.46