Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,392.44 / $7,165.21 / $11,627.00	Facility		$2,392.44	$7,165.21	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,392.44 / $2,392.44 / $7,165.21	Professional		$2,392.44	$2,392.44	$7,165.21
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 $1,195.60 / $1,722.08 / $2,939.92	Professional		$1,195.60	$1,722.08	$2,939.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,088.59 / $2,088.59 / $3,041.28	Facility		$2,088.59	$2,088.59	$3,041.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,627.43 / $2,252.40 / $2,252.40	Professional		$1,627.43	$2,252.40	$2,252.40
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 $1,720.49 / $2,592.42 / $4,003.17	Professional		$1,720.49	$2,592.42	$4,003.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,994.56 / $2,742.61 / $3,973.06	Professional		$1,994.56	$2,742.61	$3,973.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $1,848.17 / $2,845.12	Professional		$183.18	$1,848.17	$2,845.12
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 $1,723.69 / $2,631.13 / $4,816.35	Professional		$1,723.69	$2,631.13	$4,816.35