Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.03 / $8,553.00 / $11,627.00	Facility		$1,644.03	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.03 / $1,644.03 / $2,971.97	Professional		$1,644.03	$1,644.03	$2,971.97
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 $1,781.00 / $2,325.78 / $3,532.67	Professional		$1,781.00	$2,325.78	$3,532.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.64 / $1,737.64 / $1,737.64	Facility		$1,737.64	$1,737.64	$1,737.64
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 $1,490.41 / $2,086.58 / $3,349.19	Professional		$1,490.41	$2,086.58	$3,349.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,553.99 / $2,086.58 / $3,284.84	Professional		$1,553.99	$2,086.58	$3,284.84
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 $1,183.02 / $1,930.22 / $3,248.66	Professional		$1,183.02	$1,930.22	$3,248.66