Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,602.91 / $7,937.08 / $11,627.00	Facility		$2,602.91	$7,937.08	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,602.91 / $2,624.69 / $6,819.62	Professional		$2,602.91	$2,624.69	$6,819.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,942.63 / $2,843.09 / $4,776.80	Professional		$1,942.63	$2,843.09	$4,776.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,267.11 / $2,267.11 / $3,301.22	Facility		$2,267.11	$2,267.11	$3,301.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,444.92 / $2,444.92 / $2,785.08	Professional		$2,444.92	$2,444.92	$2,785.08
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 $2,122.67 / $3,213.88 / $4,712.55	Professional		$2,122.67	$3,213.88	$4,712.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,333.79 / $3,334.83 / $4,636.38	Professional		$2,333.79	$3,334.83	$4,636.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $2,041.46 / $3,125.93	Professional		$183.76	$2,041.46	$3,125.93
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 $2,352.98 / $3,096.04 / $4,864.55	Professional		$2,352.98	$3,096.04	$4,864.55