Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,440.95 / $8,956.00 / $11,627.00	Facility		$3,440.95	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,440.95 / $3,494.74 / $9,015.29	Professional		$3,440.95	$3,494.74	$9,015.29
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 $2,093.16 / $2,896.91 / $4,935.64	Professional		$2,093.16	$2,896.91	$4,935.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,001.85 / $3,001.85 / $4,371.10	Facility		$3,001.85	$3,001.85	$4,371.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,951.28 / $3,237.29 / $3,237.29	Professional		$2,951.28	$3,237.29	$3,237.29
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 $2,766.41 / $3,854.08 / $6,274.80	Professional		$2,766.41	$3,854.08	$6,274.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,090.14 / $4,120.18 / $5,898.60	Professional		$3,090.14	$4,120.18	$5,898.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.79 / $2,683.45 / $4,135.87	Professional		$228.79	$2,683.45	$4,135.87
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 $2,876.61 / $3,961.34 / $6,627.06	Professional		$2,876.61	$3,961.34	$6,627.06