Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,007.16 / $8,956.00 / $11,627.00	Facility		$3,007.16	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,007.16 / $3,007.16 / $6,016.87	Professional		$3,007.16	$3,007.16	$6,016.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,555.35 / $2,174.17 / $4,333.88	Professional		$1,555.35	$2,174.17	$4,333.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,869.74 / $3,443.69 / $4,262.32	Facility		$2,869.74	$3,443.69	$4,262.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,337.54 / $3,156.71 / $3,156.71	Professional		$2,337.54	$3,156.71	$3,156.71
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 $1,816.84 / $4,012.31 / $6,084.77	Professional		$1,816.84	$4,012.31	$6,084.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,092.64 / $4,017.64 / $6,084.77	Professional		$2,092.64	$4,017.64	$6,084.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $353.18 / $2,456.71 / $3,968.81	Professional		$353.18	$2,456.71	$3,968.81
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 $2,618.35 / $3,831.67 / $6,766.12	Professional		$2,618.35	$3,831.67	$6,766.12