Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.65 / $8,573.76 / $11,627.00	Facility		$2,800.65	$8,573.76	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,800.65 / $2,800.65 / $8,573.76	Professional		$2,800.65	$2,800.65	$8,573.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,211.75 / $2,758.06 / $4,387.09	Professional		$2,211.75	$2,758.06	$4,387.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,436.42 / $2,436.42 / $3,547.76	Facility		$2,436.42	$2,436.42	$3,547.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,627.52 / $2,627.52 / $2,950.75	Professional		$2,627.52	$2,627.52	$2,950.75
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 $2,252.69 / $3,392.64 / $5,327.58	Professional		$2,252.69	$3,392.64	$5,327.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,517.71 / $3,419.33 / $5,227.71	Professional		$2,517.71	$3,419.33	$5,227.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,242.59 / $2,954.22 / $3,898.14	Professional		$2,242.59	$2,954.22	$3,898.14
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 $2,539.16 / $3,392.57 / $5,333.53	Professional		$2,539.16	$3,392.57	$5,333.53