Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,129.30 / $6,599.52 / $11,627.00	Facility		$2,129.30	$6,599.52	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,129.30 / $2,129.30 / $6,599.52	Professional		$2,129.30	$2,129.30	$6,599.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,032.66 / $2,492.31 / $4,234.20	Professional		$2,032.66	$2,492.31	$4,234.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,856.32 / $1,856.32 / $2,703.06	Facility		$1,856.32	$1,856.32	$2,703.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,844.34 / $2,001.91 / $2,001.91	Professional		$1,844.34	$2,001.91	$2,001.91
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 $1,725.80 / $2,547.88 / $4,080.83	Professional		$1,725.80	$2,547.88	$4,080.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,928.83 / $2,569.77 / $3,897.12	Professional		$1,928.83	$2,569.77	$3,897.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,705.97 / $2,246.49 / $2,959.09	Professional		$1,705.97	$2,246.49	$2,959.09
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 $1,985.59 / $2,736.21 / $4,312.78	Professional		$1,985.59	$2,736.21	$4,312.78