Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,656.26 / $8,095.33 / $11,627.00	Facility		$2,656.26	$8,095.33	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,656.26 / $2,677.72 / $8,095.33	Professional		$2,656.26	$2,677.72	$8,095.33
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 $2,035.51 / $2,682.08 / $4,421.55	Professional		$2,035.51	$2,682.08	$4,421.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,313.71 / $2,313.71 / $3,369.09	Facility		$2,313.71	$2,313.71	$3,369.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,495.19 / $2,495.19 / $2,608.38	Professional		$2,495.19	$2,495.19	$2,608.38
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 $2,124.61 / $3,175.69 / $4,807.22	Professional		$2,124.61	$3,175.69	$4,807.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,374.57 / $3,454.34 / $4,797.35	Professional		$2,374.57	$3,454.34	$4,797.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $2,065.05 / $3,170.38	Professional		$183.76	$2,065.05	$3,170.38
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 $2,451.89 / $3,130.60 / $4,964.10	Professional		$2,451.89	$3,130.60	$4,964.10