Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,475.89 / $9,496.00 / $11,795.30	Facility		$3,475.89	$9,496.00	$11,795.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,475.89 / $3,475.89 / $6,937.44	Professional		$3,475.89	$3,475.89	$6,937.44
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 $1,521.86 / $2,114.89 / $4,844.18	Professional		$1,521.86	$2,114.89	$4,844.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,317.94 / $3,981.53 / $4,928.00	Facility		$3,317.94	$3,981.53	$4,928.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,571.94 / $3,649.73 / $3,649.73	Professional		$2,571.94	$3,649.73	$3,649.73
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 $1,738.61 / $4,645.12 / $7,100.39	Professional		$1,738.61	$4,645.12	$7,100.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,092.64 / $4,675.04 / $7,100.39	Professional		$2,092.64	$4,675.04	$7,100.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $391.85 / $2,854.60 / $4,616.22	Professional		$391.85	$2,854.60	$4,616.22
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 $2,952.99 / $4,479.22 / $7,806.65	Professional		$2,952.99	$4,479.22	$7,806.65