Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,269.27 / $8,553.00 / $11,627.00	Facility		$4,269.27	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,032.26 / $4,269.27 / $6,326.65	Professional		$4,032.26	$4,269.27	$6,326.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,869.00 / $14,996.00	Facility		$1,760.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,814.91 / $3,762.38 / $6,853.16	Professional		$2,814.91	$3,762.38	$6,853.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,531.03 / $13,408.47 / $16,328.90	Facility		$5,531.03	$13,408.47	$16,328.90
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 / $5,034.52 / $7,997.03	Professional		$532.00	$5,034.52	$7,997.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $5,061.45 / $7,738.42	Professional		$567.00	$5,061.45	$7,738.42
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 $3,682.33 / $5,286.32 / $8,182.96	Professional		$3,682.33	$5,286.32	$8,182.96