Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,212.37 / $8,553.00 / $11,627.00	Facility		$3,212.37	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,959.77 / $3,212.37 / $4,610.18	Professional		$2,959.77	$3,212.37	$4,610.18
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 $3,562.01 / $4,401.66 / $7,065.35	Professional		$3,562.01	$4,401.66	$7,065.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,385.10 / $2,385.10 / $2,385.10	Facility		$2,385.10	$2,385.10	$2,385.10
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 $2,328.66 / $3,429.93 / $5,141.39	Professional		$2,328.66	$3,429.93	$5,141.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,439.46 / $3,437.61 / $5,103.35	Professional		$2,439.46	$3,437.61	$5,103.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $2,398.11 / $3,108.54 / $5,046.62	Professional		$2,398.11	$3,108.54	$5,046.62