Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,503.58 / $7,155.00 / $12,096.23	Facility		$2,503.58	$7,155.00	$12,096.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,469.28 / $3,469.28 / $7,041.17	Professional		$3,469.28	$3,469.28	$7,041.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,505.81 / $3,537.62 / $5,964.77	Professional		$2,505.81	$3,537.62	$5,964.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,318.25 / $3,981.90 / $4,928.47	Facility		$3,318.25	$3,981.90	$4,928.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,576.73 / $3,650.08 / $3,650.08	Professional		$2,576.73	$3,650.08	$3,650.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,613.94 / $3,679.61 / $3,679.61	Professional		$2,613.94	$3,679.61	$3,679.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,901.72 / $4,901.72 / $5,137.10	Professional		$4,901.72	$4,901.72	$5,137.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.44 / $2,841.80 / $4,601.47	Professional		$392.44	$2,841.80	$4,601.47
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 $3,125.38 / $4,591.70 / $8,016.83	Professional		$3,125.38	$4,591.70	$8,016.83