Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,416.60 / $7,342.79 / $11,627.00	Facility		$2,416.60	$7,342.79	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,416.60 / $2,416.60 / $4,744.82	Professional		$2,416.60	$2,416.60	$4,744.82
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 $1,912.94 / $2,498.07 / $4,490.91	Professional		$1,912.94	$2,498.07	$4,490.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,103.80 / $3,063.43 / $3,867.29	Facility		$2,103.80	$3,063.43	$3,867.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,099.77 / $2,268.81 / $4,021.98	Professional		$2,099.77	$2,268.81	$4,021.98
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 $1,938.80 / $2,887.57 / $4,508.49	Professional		$1,938.80	$2,887.57	$4,508.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,177.64 / $3,156.33 / $4,508.49	Professional		$2,177.64	$3,156.33	$4,508.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $1,877.78 / $2,875.56	Professional		$183.76	$1,877.78	$2,875.56
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 $2,232.04 / $2,991.39 / $4,552.41	Professional		$2,232.04	$2,991.39	$4,552.41