Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,854.49 / $8,717.04 / $11,627.00	Facility		$2,854.49	$8,717.04	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,854.49 / $2,954.93 / $7,478.76	Professional		$2,854.49	$2,954.93	$7,478.76
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 $2,120.85 / $3,101.32 / $5,215.05	Professional		$2,120.85	$3,101.32	$5,215.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,490.83 / $2,490.83 / $3,626.99	Facility		$2,490.83	$2,490.83	$3,626.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,686.19 / $2,686.19 / $2,833.28	Professional		$2,686.19	$2,686.19	$2,833.28
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 $2,264.79 / $3,418.79 / $5,474.10	Professional		$2,264.79	$3,418.79	$5,474.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,564.09 / $3,602.82 / $5,197.72	Professional		$2,564.09	$3,602.82	$5,197.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $2,214.21 / $3,419.82	Professional		$190.83	$2,214.21	$3,419.82
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 $2,594.36 / $3,352.71 / $5,360.85	Professional		$2,594.36	$3,352.71	$5,360.85