Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,721.36 / $9,371.18 / $11,627.00	Facility		$3,721.36	$9,371.18	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,721.36 / $3,721.36 / $9,749.95	Professional		$3,721.36	$3,721.36	$9,749.95
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 $2,956.37 / $3,696.33 / $5,864.05	Professional		$2,956.37	$3,696.33	$5,864.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,247.15 / $3,247.15 / $4,728.30	Facility		$3,247.15	$3,247.15	$4,728.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,501.83 / $3,501.83 / $3,944.15	Professional		$3,501.83	$3,501.83	$3,944.15
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 $2,992.47 / $4,503.52 / $6,936.78	Professional		$2,992.47	$4,503.52	$6,936.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,373.43 / $4,534.18 / $6,856.40	Professional		$3,373.43	$4,534.18	$6,856.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $2,921.60 / $4,473.29	Professional		$233.32	$2,921.60	$4,473.29
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 $3,423.08 / $4,557.71 / $7,118.86	Professional		$3,423.08	$4,557.71	$7,118.86