Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,170.25 / $8,956.00 / $11,627.00	Facility		$3,170.25	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,170.25 / $3,244.50 / $8,306.04	Professional		$3,170.25	$3,244.50	$8,306.04
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 $2,311.00 / $3,087.34 / $5,013.79	Professional		$2,311.00	$3,087.34	$5,013.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,762.36 / $2,762.36 / $4,022.38	Facility		$2,762.36	$2,762.36	$4,022.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,779.52 / $2,979.02 / $2,979.02	Professional		$2,779.52	$2,979.02	$2,979.02
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 $2,507.33 / $3,773.34 / $6,015.82	Professional		$2,507.33	$3,773.34	$6,015.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,827.19 / $3,819.67 / $5,722.37	Professional		$2,827.19	$3,819.67	$5,722.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.79 / $2,455.34 / $3,789.14	Professional		$228.79	$2,455.34	$3,789.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,861.44 / $3,698.89 / $6,038.28	Professional		$2,861.44	$3,698.89	$6,038.28