Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.01 / $6,496.00 / $11,627.00	Facility		$1,882.01	$6,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,857.61 / $1,882.01 / $3,748.47	Professional		$1,857.61	$1,882.01	$3,748.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $12,455.21 / $21,287.94	Facility		$4,142.00	$12,455.21	$21,287.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,480.61 / $2,011.88 / $3,504.18	Professional		$1,480.61	$2,011.88	$3,504.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,785.44 / $2,142.53 / $2,651.85	Facility		$1,785.44	$2,142.53	$2,651.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,963.98 / $1,963.98 / $1,981.20	Professional		$1,963.98	$1,963.98	$1,981.20
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 $1,512.32 / $2,499.62 / $3,857.37	Professional		$1,512.32	$2,499.62	$3,857.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,696.90 / $2,714.67 / $3,726.91	Professional		$1,696.90	$2,714.67	$3,726.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.77 / $1,640.09 / $2,549.56	Professional		$153.77	$1,640.09	$2,549.56
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 $1,816.27 / $2,526.44 / $4,532.54	Professional		$1,816.27	$2,526.44	$4,532.54