Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,021.50 / $8,956.00 / $11,627.00	Facility		$3,021.50	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,021.50 / $3,093.52 / $7,916.33	Professional		$3,021.50	$3,093.52	$7,916.33
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 $2,260.84 / $2,976.06 / $5,108.77	Professional		$2,260.84	$2,976.06	$5,108.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,631.79 / $2,631.79 / $3,832.26	Facility		$2,631.79	$2,631.79	$3,832.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,838.21 / $2,838.21 / $3,096.08	Professional		$2,838.21	$2,838.21	$3,096.08
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 $2,398.34 / $3,779.80 / $5,727.30	Professional		$2,398.34	$3,779.80	$5,727.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,708.71 / $3,863.32 / $5,458.18	Professional		$2,708.71	$3,863.32	$5,458.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $2,344.49 / $3,635.41	Professional		$190.83	$2,344.49	$3,635.41
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 $2,757.63 / $3,576.48 / $5,603.66	Professional		$2,757.63	$3,576.48	$5,603.66