Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,695.71 / $8,205.50 / $11,627.00	Facility		$2,695.71	$8,205.50	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,695.71 / $2,727.93 / $7,062.76	Professional		$2,695.71	$2,727.93	$7,062.76
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 $1,531.92 / $2,342.92 / $3,804.06	Professional		$1,531.92	$2,342.92	$3,804.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,347.33 / $2,347.33 / $3,418.03	Facility		$2,347.33	$2,347.33	$3,418.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,531.44 / $2,531.44 / $2,575.29	Professional		$2,531.44	$2,531.44	$2,575.29
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 $1,964.46 / $3,215.28 / $4,876.05	Professional		$1,964.46	$3,215.28	$4,876.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,407.52 / $3,221.83 / $4,580.00	Professional		$2,407.52	$3,221.83	$4,580.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $2,085.45 / $3,210.54	Professional		$183.77	$2,085.45	$3,210.54
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 $2,128.56 / $3,061.77 / $5,426.89	Professional		$2,128.56	$3,061.77	$5,426.89