Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,879.69 / $8,767.79 / $11,627.00	Facility		$2,879.69	$8,767.79	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,879.69 / $2,970.82 / $7,544.79	Professional		$2,879.69	$2,970.82	$7,544.79
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 $1,994.18 / $3,018.25 / $4,903.55	Professional		$1,994.18	$3,018.25	$4,903.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,518.96 / $2,518.96 / $3,667.93	Facility		$2,518.96	$2,518.96	$3,667.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,442.31 / $2,716.52 / $2,716.52	Professional		$2,442.31	$2,716.52	$2,716.52
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 $2,072.94 / $3,435.05 / $5,490.61	Professional		$2,072.94	$3,435.05	$5,490.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,579.83 / $3,477.22 / $5,209.34	Professional		$2,579.83	$3,477.22	$5,209.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $2,257.34 / $3,443.89	Professional		$190.83	$2,257.34	$3,443.89
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 $2,512.94 / $3,379.04 / $5,393.20	Professional		$2,512.94	$3,379.04	$5,393.20