Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,574.65 / $7,820.70 / $11,627.00	Facility		$2,574.65	$7,820.70	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,574.65 / $5,109.97	Professional		$2,574.65	$2,574.65	$5,109.97
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 $2,035.22 / $2,657.76 / $4,777.97	Professional		$2,035.22	$2,657.76	$4,777.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,242.15 / $2,242.15 / $3,264.88	Facility		$2,242.15	$2,242.15	$3,264.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,128.01 / $2,418.01 / $2,418.01	Professional		$2,128.01	$2,418.01	$2,418.01
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 $2,066.30 / $3,077.47 / $4,796.66	Professional		$2,066.30	$3,077.47	$4,796.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,320.54 / $3,364.14 / $4,796.66	Professional		$2,320.54	$3,364.14	$4,796.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $2,011.90 / $3,084.99	Professional		$183.76	$2,011.90	$3,084.99
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 $2,366.89 / $3,064.91 / $4,851.14	Professional		$2,366.89	$3,064.91	$4,851.14