Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,044.01 / $8,553.00 / $11,679.00	Facility		$4,044.01	$8,553.00	$11,679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,826.08 / $4,044.01 / $6,268.22	Professional		$3,826.08	$4,044.01	$6,268.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,814.91 / $3,752.29 / $6,817.73	Professional		$2,814.91	$3,752.29	$6,817.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,239.35 / $13,739.84 / $16,559.23	Facility		$5,239.35	$13,739.84	$16,559.23
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 $532.00 / $4,768.88 / $7,575.13	Professional		$532.00	$4,768.88	$7,575.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $4,794.37 / $7,331.04	Professional		$567.00	$4,794.37	$7,331.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $3,567.42 / $4,930.55 / $8,190.05	Professional		$3,567.42	$4,930.55	$8,190.05