Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,571.28 / $9,496.00 / $14,177.40	Facility		$4,571.28	$9,496.00	$14,177.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,361.16 / $4,571.28 / $9,005.42	Professional		$3,361.16	$4,571.28	$9,005.42
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 $1,297.58 / $1,981.15 / $5,492.11	Professional		$1,297.58	$1,981.15	$5,492.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,994.27 / $3,994.27 / $5,816.20	Facility		$3,994.27	$3,994.27	$5,816.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,000.65 / $4,307.55 / $4,307.55	Professional		$3,000.65	$4,307.55	$4,307.55
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 $2,084.25 / $4,957.93 / $7,834.63	Professional		$2,084.25	$4,957.93	$7,834.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,376.25 / $5,157.64 / $7,683.68	Professional		$2,376.25	$5,157.64	$7,683.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.35 / $3,570.78 / $5,492.59	Professional		$302.35	$3,570.78	$5,492.59
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 $1,943.86 / $5,199.38 / $8,680.59	Professional		$1,943.86	$5,199.38	$8,680.59