Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,135.00 / $9,504.00 / $20,037.40	Facility		$5,135.00	$9,504.00	$20,037.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,645.51 / $5,842.37 / $9,667.95	Professional		$5,645.51	$5,842.37	$9,667.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,129.00 / $14,299.15 / $25,723.30	Facility		$5,129.00	$14,299.15	$25,723.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,982.66 / $5,127.85 / $10,453.62	Professional		$2,982.66	$5,127.85	$10,453.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,465.84 / $6,559.01 / $8,118.20	Facility		$5,465.84	$6,559.01	$8,118.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,699.17 / $6,012.42 / $6,012.42	Professional		$4,699.17	$6,012.42	$6,012.42
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 $2,697.37 / $7,652.18 / $11,708.17	Professional		$2,697.37	$7,652.18	$11,708.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,016.93 / $7,952.49 / $11,708.17	Professional		$3,016.93	$7,952.49	$11,708.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.69 / $5,041.74 / $7,890.05	Professional		$478.69	$5,041.74	$7,890.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,240.55 / $7,378.88 / $12,892.53	Professional		$5,240.55	$7,378.88	$12,892.53