Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.45 / $9,496.00 / $11,627.00	Facility		$3,226.45	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,226.45 / $3,344.07 / $8,453.29	Professional		$3,226.45	$3,344.07	$8,453.29
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 $2,017.52 / $2,753.32 / $4,625.02	Professional		$2,017.52	$2,753.32	$4,625.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,815.66 / $2,815.66 / $4,099.99	Facility		$2,815.66	$2,815.66	$4,099.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,479.56 / $3,036.50 / $3,036.50	Professional		$2,479.56	$3,036.50	$3,036.50
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 $2,548.56 / $3,864.62 / $6,192.06	Professional		$2,548.56	$3,864.62	$6,192.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,748.81 / $4,092.10 / $5,912.91	Professional		$2,748.81	$4,092.10	$5,912.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.79 / $2,502.32 / $3,842.49	Professional		$228.79	$2,502.32	$3,842.49
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 $2,941.67 / $3,765.87 / $6,075.55	Professional		$2,941.67	$3,765.87	$6,075.55