Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,844.34 / $8,956.00 / $11,627.00	Facility		$2,844.34	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,844.34 / $2,844.34 / $5,761.42	Professional		$2,844.34	$2,844.34	$5,761.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,976.27 / $2,808.22 / $4,634.70	Professional		$1,976.27	$2,808.22	$4,634.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,780.42 / $3,336.50 / $4,129.64	Facility		$2,780.42	$3,336.50	$4,129.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,685.50 / $3,058.46 / $3,058.46	Professional		$2,685.50	$3,058.46	$3,058.46
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 $2,351.63 / $3,839.86 / $5,830.36	Professional		$2,351.63	$3,839.86	$5,830.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,512.92 / $3,893.89 / $5,826.60	Professional		$2,512.92	$3,893.89	$5,826.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.51 / $2,358.60 / $3,863.13	Professional		$392.51	$2,358.60	$3,863.13
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 $2,572.05 / $3,726.93 / $6,217.27	Professional		$2,572.05	$3,726.93	$6,217.27