Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.12 / $8,956.00 / $11,627.00	Facility		$2,747.12	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,747.12 / $2,747.12 / $7,197.45	Professional		$2,747.12	$2,747.12	$7,197.45
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 $1,923.44 / $2,615.84 / $4,348.16	Professional		$1,923.44	$2,615.84	$4,348.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,614.53 / $3,137.44 / $3,883.25	Facility		$2,614.53	$3,137.44	$3,883.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,261.52 / $2,875.98 / $2,875.98	Professional		$2,261.52	$2,875.98	$2,875.98
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 $2,103.51 / $3,660.34 / $5,595.09	Professional		$2,103.51	$3,660.34	$5,595.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,410.44 / $3,761.34 / $5,524.66	Professional		$2,410.44	$3,761.34	$5,524.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $2,245.72 / $3,671.85	Professional		$345.92	$2,245.72	$3,671.85
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 $2,340.91 / $3,529.62 / $6,074.35	Professional		$2,340.91	$3,529.62	$6,074.35