Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,693.30 / $8,189.12 / $11,627.00	Facility		$2,693.30	$8,189.12	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,693.30 / $2,693.30 / $5,315.66	Professional		$2,693.30	$2,693.30	$5,315.66
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 $2,132.64 / $2,784.97 / $5,006.68	Professional		$2,132.64	$2,784.97	$5,006.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,344.94 / $3,414.55 / $4,310.55	Facility		$2,344.94	$3,414.55	$4,310.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,341.71 / $2,528.86 / $4,482.97	Professional		$2,341.71	$2,528.86	$4,482.97
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 $2,161.02 / $3,218.55 / $5,026.28	Professional		$2,161.02	$3,218.55	$5,026.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,428.59 / $3,519.33 / $5,026.28	Professional		$2,428.59	$3,519.33	$5,026.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $2,068.10 / $3,159.78	Professional		$183.76	$2,068.10	$3,159.78
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 $2,488.64 / $3,338.67 / $5,284.10	Professional		$2,488.64	$3,338.67	$5,284.10