Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.98 / $6,753.47 / $11,627.00	Facility		$1,826.98	$6,753.47	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.98 / $1,826.98 / $3,728.90	Professional		$1,826.98	$1,826.98	$3,728.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,813.00 / $17,502.61 / $31,496.21	Facility		$6,813.00	$17,502.61	$31,496.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,588.85 / $2,312.11 / $3,626.68	Professional		$1,588.85	$2,312.11	$3,626.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,917.96 / $2,324.48 / $2,877.06	Facility		$1,917.96	$2,324.48	$2,877.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,130.78 / $2,130.78 / $2,192.53	Professional		$2,130.78	$2,130.78	$2,192.53
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 $1,696.64 / $2,682.79 / $4,110.83	Professional		$1,696.64	$2,682.79	$4,110.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,906.69 / $2,727.31 / $4,110.83	Professional		$1,906.69	$2,727.31	$4,110.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,662.48 / $2,722.09	Professional		$236.73	$1,662.48	$2,722.09
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 $1,923.33 / $2,656.07 / $4,441.93	Professional		$1,923.33	$2,656.07	$4,441.93