Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,298.71 / $6,978.30 / $11,627.00	Facility		$2,298.71	$6,978.30	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,298.71 / $2,298.71 / $4,553.89	Professional		$2,298.71	$2,298.71	$4,553.89
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 $1,821.69 / $2,378.91 / $4,276.68	Professional		$1,821.69	$2,378.91	$4,276.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,000.66 / $2,000.66 / $2,913.23	Facility		$2,000.66	$2,000.66	$2,913.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,999.21 / $2,157.57 / $2,157.57	Professional		$1,999.21	$2,157.57	$2,157.57
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 $1,843.75 / $2,746.00 / $4,293.43	Professional		$1,843.75	$2,746.00	$4,293.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,070.11 / $3,001.15 / $4,293.43	Professional		$2,070.11	$3,001.15	$4,293.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $1,783.78 / $2,723.98	Professional		$183.76	$1,783.78	$2,723.98
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 $2,109.31 / $2,778.44 / $4,327.60	Professional		$2,109.31	$2,778.44	$4,327.60