Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,954.27 / $8,956.00 / $11,627.00	Facility		$2,954.27	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,954.27 / $3,047.83 / $7,740.19	Professional		$2,954.27	$3,047.83	$7,740.19
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 $1,891.66 / $2,857.89 / $4,659.95	Professional		$1,891.66	$2,857.89	$4,659.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,578.23 / $2,578.23 / $3,754.26	Facility		$2,578.23	$2,578.23	$3,754.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,780.45 / $2,780.45 / $3,003.58	Professional		$2,780.45	$2,780.45	$3,003.58
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 $2,376.02 / $3,546.84 / $5,645.33	Professional		$2,376.02	$3,546.84	$5,645.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,654.06 / $3,826.37 / $5,382.33	Professional		$2,654.06	$3,826.37	$5,382.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $2,304.41 / $3,528.63	Professional		$190.83	$2,304.41	$3,528.63
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 $2,616.04 / $3,412.37 / $5,553.45	Professional		$2,616.04	$3,412.37	$5,553.45