Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,361.81 / $7,155.00 / $11,627.00	Facility		$2,361.81	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,361.81 / $2,361.81 / $7,076.42	Professional		$2,361.81	$2,361.81	$7,076.42
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 $1,184.63 / $1,708.71 / $2,913.06	Professional		$1,184.63	$1,708.71	$2,913.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,061.66 / $2,061.66 / $3,002.05	Facility		$2,061.66	$2,061.66	$3,002.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,483.33 / $2,223.35 / $2,223.35	Professional		$1,483.33	$2,223.35	$2,223.35
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 $1,698.34 / $2,568.62 / $3,949.41	Professional		$1,698.34	$2,568.62	$3,949.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,962.90 / $2,708.45 / $3,832.42	Professional		$1,962.90	$2,708.45	$3,832.42
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 $1,703.90 / $2,594.98 / $4,419.39	Professional		$1,703.90	$2,594.98	$4,419.39