Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,098.42 / $6,367.92 / $11,627.00	Facility		$2,098.42	$6,367.92	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,098.42 / $2,098.42 / $4,218.80	Professional		$2,098.42	$2,098.42	$4,218.80
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 $1,802.97 / $2,367.30 / $3,881.09	Professional		$1,802.97	$2,367.30	$3,881.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,826.94 / $2,660.28 / $3,358.35	Facility		$1,826.94	$2,660.28	$3,358.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,970.23 / $2,274.27 / $3,492.69	Professional		$1,970.23	$2,274.27	$3,492.69
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 $1,731.97 / $2,530.88 / $3,960.58	Professional		$1,731.97	$2,530.88	$3,960.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,889.09 / $2,617.90 / $3,816.99	Professional		$1,889.09	$2,617.90	$3,816.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,827.59 / $2,565.46	Professional		$184.79	$1,827.59	$2,565.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,901.02 / $2,583.71 / $4,110.27	Professional		$1,901.02	$2,583.71	$4,110.27