Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.02 / $7,155.00 / $11,627.00	Facility		$2,093.02	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,069.56 / $2,093.02 / $4,171.75	Professional		$2,069.56	$2,093.02	$4,171.75
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 $1,706.39 / $2,258.94 / $3,934.49	Professional		$1,706.39	$2,258.94	$3,934.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,985.61 / $2,382.73 / $2,949.15	Facility		$1,985.61	$2,382.73	$2,949.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,184.17 / $2,184.17 / $2,209.71	Professional		$2,184.17	$2,184.17	$2,209.71
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 $1,681.69 / $2,779.86 / $4,292.95	Professional		$1,681.69	$2,779.86	$4,292.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,892.04 / $3,024.28 / $4,147.76	Professional		$1,892.04	$3,024.28	$4,147.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $1,823.96 / $2,857.51	Professional		$158.13	$1,823.96	$2,857.51
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 $2,022.83 / $2,734.18 / $4,703.39	Professional		$2,022.83	$2,734.18	$4,703.39