Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,600.90 / $8,553.00 / $11,627.00	Facility		$2,600.90	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,528.16 / $2,600.90 / $3,746.81	Professional		$2,528.16	$2,600.90	$3,746.81
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 $3,099.48 / $4,069.62 / $6,724.41	Professional		$3,099.48	$4,069.62	$6,724.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,013.36 / $2,013.36 / $2,013.36	Facility		$2,013.36	$2,013.36	$2,013.36
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 $1,996.00 / $2,946.51 / $4,063.62	Professional		$1,996.00	$2,946.51	$4,063.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,054.07 / $3,040.80 / $3,985.52	Professional		$2,054.07	$3,040.80	$3,985.52
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 $1,537.03 / $2,112.01 / $3,071.02	Professional		$1,537.03	$2,112.01	$3,071.02