Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,578.65 / $7,728.27 / $11,627.00	Facility		$2,578.65	$7,728.27	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,578.65 / $2,578.65 / $7,728.27	Professional		$2,578.65	$2,578.65	$7,728.27
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 $1,268.72 / $1,829.93 / $3,148.61	Professional		$1,268.72	$1,829.93	$3,148.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,250.73 / $2,250.73 / $3,277.39	Facility		$2,250.73	$2,250.73	$3,277.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,651.64 / $2,427.27 / $2,427.27	Professional		$1,651.64	$2,427.27	$2,427.27
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 $1,853.90 / $2,758.26 / $4,315.74	Professional		$1,853.90	$2,758.26	$4,315.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,126.46 / $2,958.64 / $4,297.17	Professional		$2,126.46	$2,958.64	$4,297.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $2,010.50 / $3,088.78	Professional		$190.83	$2,010.50	$3,088.78
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 $1,759.86 / $2,843.18 / $4,971.96	Professional		$1,759.86	$2,843.18	$4,971.96