Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,311.12 / $7,031.67 / $11,627.00	Facility		$2,311.12	$7,031.67	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,311.12 / $2,381.71 / $6,055.13	Professional		$2,311.12	$2,381.71	$6,055.13
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 $1,883.20 / $2,460.21 / $4,442.85	Professional		$1,883.20	$2,460.21	$4,442.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,013.42 / $2,013.42 / $2,931.82	Facility		$2,013.42	$2,013.42	$2,931.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,963.15 / $2,171.33 / $2,171.33	Professional		$1,963.15	$2,171.33	$2,171.33
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 $1,845.77 / $2,755.80 / $4,460.26	Professional		$1,845.77	$2,755.80	$4,460.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,062.92 / $2,763.51 / $4,372.75	Professional		$2,062.92	$2,763.51	$4,372.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $2,021.93 / $2,836.05	Professional		$184.79	$2,021.93	$2,836.05
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 $2,129.75 / $2,747.33 / $4,395.72	Professional		$2,129.75	$2,747.33	$4,395.72