Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,624.78 / $8,087.75 / $11,627.00	Facility		$2,624.78	$8,087.75	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,624.78 / $2,709.92 / $6,876.92	Professional		$2,624.78	$2,709.92	$6,876.92
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 $1,230.81 / $1,954.23 / $3,245.86	Professional		$1,230.81	$1,954.23	$3,245.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,289.58 / $2,289.58 / $3,333.93	Facility		$2,289.58	$2,289.58	$3,333.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,031.90 / $2,469.15 / $2,469.15	Professional		$2,031.90	$2,469.15	$2,469.15
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 $1,884.49 / $3,142.55 / $5,018.14	Professional		$1,884.49	$3,142.55	$5,018.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,244.67 / $3,142.55 / $4,783.26	Professional		$2,244.67	$3,142.55	$4,783.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $2,061.48 / $3,156.40	Professional		$183.77	$2,061.48	$3,156.40
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 $1,959.16 / $3,018.10 / $4,578.97	Professional		$1,959.16	$3,018.10	$4,578.97