Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,770.77 / $9,504.00 / $47,338.25	Facility		$3,770.77	$9,504.00	$47,338.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,770.77 / $3,897.12 / $9,879.42	Professional		$3,770.77	$3,897.12	$9,879.42
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 $3,614.23 / $4,517.79 / $7,698.31	Professional		$3,614.23	$4,517.79	$7,698.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,284.32 / $3,284.32 / $4,782.42	Facility		$3,284.32	$3,284.32	$4,782.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,541.91 / $3,541.91 / $3,724.74	Professional		$3,541.91	$3,541.91	$3,724.74
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 $3,167.60 / $4,930.56 / $7,467.88	Professional		$3,167.60	$4,930.56	$7,467.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,379.85 / $4,937.24 / $7,467.88	Professional		$3,379.85	$4,937.24	$7,467.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.32 / $2,945.86 / $4,521.12	Professional		$233.32	$2,945.86	$4,521.12
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 $3,487.74 / $4,675.39 / $7,218.65	Professional		$3,487.74	$4,675.39	$7,218.65