Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,553.59 / $8,956.00 / $11,861.20	Facility		$3,553.59	$8,956.00	$11,861.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,185.25 / $3,553.59 / $6,539.04	Professional		$3,185.25	$3,553.59	$6,539.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,175.00 / $14,996.00	Facility		$1,082.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,867.73 / $3,802.98 / $6,204.41	Professional		$2,867.73	$3,802.98	$6,204.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,405.34 / $4,086.41 / $5,057.82	Facility		$3,405.34	$4,086.41	$5,057.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,000.83 / $3,745.87 / $4,426.93	Professional		$3,000.83	$3,745.87	$4,426.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,227.70 / $11,705.61 / $15,976.63	Professional		$4,227.70	$11,705.61	$15,976.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,330.38 / $5,395.25 / $5,395.25	Professional		$5,330.38	$5,395.25	$5,395.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $2,947.17 / $4,741.00	Professional		$321.52	$2,947.17	$4,741.00
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,048.22 / $4,315.49 / $7,553.33	Professional		$3,048.22	$4,315.49	$7,553.33