Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,878.93 / $8,956.00 / $11,627.00	Facility		$2,878.93	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,878.93 / $2,878.93 / $7,542.80	Professional		$2,878.93	$2,878.93	$7,542.80
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 $2,197.92 / $2,956.84 / $4,671.28	Professional		$2,197.92	$2,956.84	$4,671.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,737.82 / $3,285.38 / $4,066.38	Facility		$2,737.82	$3,285.38	$4,066.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,649.34 / $3,011.60 / $3,011.60	Professional		$2,649.34	$3,011.60	$3,011.60
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 $2,324.85 / $3,832.95 / $5,858.94	Professional		$2,324.85	$3,832.95	$5,858.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,537.21 / $4,120.85 / $5,816.57	Professional		$2,537.21	$4,120.85	$5,816.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $2,337.00 / $3,838.09	Professional		$345.92	$2,337.00	$3,838.09
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 $2,467.09 / $3,779.28 / $6,278.27	Professional		$2,467.09	$3,779.28	$6,278.27