Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,546.85 / $7,772.57 / $11,627.00	Facility		$2,546.85	$7,772.57	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,546.85 / $2,635.95 / $6,672.75	Professional		$2,546.85	$2,635.95	$6,672.75
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 $1,881.02 / $2,505.40 / $4,193.52	Professional		$1,881.02	$2,505.40	$4,193.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,216.60 / $2,216.60 / $3,227.68	Facility		$2,216.60	$2,216.60	$3,227.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,390.44 / $2,390.44 / $2,427.94	Professional		$2,390.44	$2,390.44	$2,427.94
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 $2,042.75 / $3,042.39 / $4,852.78	Professional		$2,042.75	$3,042.39	$4,852.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,281.80 / $3,301.94 / $4,617.31	Professional		$2,281.80	$3,301.94	$4,617.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,990.95 / $3,039.60	Professional		$183.77	$1,990.95	$3,039.60
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 $2,286.62 / $2,960.36 / $4,780.24	Professional		$2,286.62	$2,960.36	$4,780.24