Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,832.71 / $9,504.00 / $11,712.90	Facility		$3,832.71	$9,504.00	$11,712.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,832.71 / $3,862.99 / $10,041.70	Professional		$3,832.71	$3,862.99	$10,041.70
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 $3,013.21 / $3,934.90 / $6,478.73	Professional		$3,013.21	$3,934.90	$6,478.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,337.54 / $3,337.54 / $4,859.91	Facility		$3,337.54	$3,337.54	$4,859.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,034.97 / $3,599.30 / $3,599.30	Professional		$3,034.97	$3,599.30	$3,599.30
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 $3,074.27 / $4,580.92 / $7,460.15	Professional		$3,074.27	$4,580.92	$7,460.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,435.95 / $5,011.84 / $7,405.41	Professional		$3,435.95	$5,011.84	$7,405.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.96 / $2,980.23 / $4,587.36	Professional		$283.96	$2,980.23	$4,587.36
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 $3,545.50 / $4,663.22 / $7,338.47	Professional		$3,545.50	$4,663.22	$7,338.47