Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,150.25 / $6,582.00 / $11,627.00	Facility		$2,150.25	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,150.25 / $2,150.25 / $4,250.39	Professional		$2,150.25	$2,150.25	$4,250.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,638.88 / $7,944.89 / $15,216.00	Facility		$3,638.88	$7,944.89	$15,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,632.84 / $2,323.53 / $3,778.21	Professional		$1,632.84	$2,323.53	$3,778.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,872.01 / $2,725.90 / $3,441.20	Facility		$1,872.01	$2,725.90	$3,441.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,825.06 / $2,018.83 / $3,578.84	Professional		$1,825.06	$2,018.83	$3,578.84
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 $1,725.18 / $2,569.42 / $4,104.39	Professional		$1,725.18	$2,569.42	$4,104.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,933.92 / $2,619.63 / $4,073.97	Professional		$1,933.92	$2,619.63	$4,073.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $1,660.18 / $2,548.01	Professional		$183.76	$1,660.18	$2,548.01
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 $1,999.36 / $2,647.86 / $4,096.31	Professional		$1,999.36	$2,647.86	$4,096.31