Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,914.46 / $9,504.00 / $25,500.55	Facility		$2,914.46	$9,504.00	$25,500.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,914.46 / $2,914.46 / $7,635.88	Professional		$2,914.46	$2,914.46	$7,635.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,977.14 / $2,778.37 / $4,583.49	Professional		$1,977.14	$2,778.37	$4,583.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,765.52 / $3,318.62 / $5,185.35	Facility		$2,765.52	$3,318.62	$5,185.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,042.07 / $3,042.07 / $5,392.77	Professional		$3,042.07	$3,042.07	$5,392.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,692.17 / $3,288.87 / $3,288.87	Professional		$2,692.17	$3,288.87	$3,288.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,841.67 / $4,041.19 / $4,041.19	Professional		$3,841.67	$4,041.19	$4,041.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.15 / $2,530.33 / $3,952.06	Professional		$256.15	$2,530.33	$3,952.06
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 $2,574.29 / $3,683.85 / $6,439.14	Professional		$2,574.29	$3,683.85	$6,439.14