Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,274.52 / $8,553.00 / $11,627.00	Facility		$2,274.52	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,274.52 / $2,274.52 / $7,665.13	Professional		$2,274.52	$2,274.52	$7,665.13
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 $2,006.87 / $2,644.35 / $4,353.97	Professional		$2,006.87	$2,644.35	$4,353.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,876.92 / $1,876.92 / $2,733.06	Facility		$1,876.92	$1,876.92	$2,733.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,666.57 / $2,024.13 / $2,024.13	Professional		$1,666.57	$2,024.13	$2,024.13
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 $1,641.94 / $2,501.44 / $3,633.33	Professional		$1,641.94	$2,501.44	$3,633.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,805.99 / $2,520.83 / $3,563.40	Professional		$1,805.99	$2,520.83	$3,563.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,175.71 / $1,469.63 / $1,704.77	Professional		$1,175.71	$1,469.63	$1,704.77
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 $1,469.64 / $1,969.32 / $2,918.71	Professional		$1,469.64	$1,969.32	$2,918.71