Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,918.93 / $7,155.00 / $11,627.00	Facility		$1,918.93	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.93 / $1,918.93 / $3,837.89	Professional		$1,918.93	$1,918.93	$3,837.89
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 $1,651.06 / $2,261.61 / $3,799.06	Professional		$1,651.06	$2,261.61	$3,799.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,012.45 / $2,440.60 / $3,020.76	Facility		$2,012.45	$2,440.60	$3,020.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,129.03 / $2,237.21 / $2,237.21	Professional		$2,129.03	$2,237.21	$2,237.21
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 $1,829.51 / $2,818.09 / $4,318.06	Professional		$1,829.51	$2,818.09	$4,318.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,026.75 / $2,940.90 / $4,318.06	Professional		$2,026.75	$2,940.90	$4,318.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,740.20 / $2,854.05	Professional		$236.73	$1,740.20	$2,854.05
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 $2,019.89 / $2,744.16 / $4,664.93	Professional		$2,019.89	$2,744.16	$4,664.93