Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,993.13 / $7,365.73 / $11,627.00	Facility		$1,993.13	$7,365.73	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,979.61 / $1,993.13 / $4,165.14	Professional		$1,979.61	$1,993.13	$4,165.14
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 $1,723.12 / $2,334.62 / $4,019.29	Professional		$1,723.12	$2,334.62	$4,019.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,089.37 / $2,535.34 / $3,138.03	Facility		$2,089.37	$2,535.34	$3,138.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,013.36 / $2,324.06 / $2,324.06	Professional		$2,013.36	$2,324.06	$2,324.06
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 $1,874.75 / $2,957.89 / $4,487.95	Professional		$1,874.75	$2,957.89	$4,487.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,077.07 / $3,013.61 / $4,487.95	Professional		$2,077.07	$3,013.61	$4,487.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,800.09 / $2,937.03	Professional		$236.73	$1,800.09	$2,937.03
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 $2,111.42 / $2,923.37 / $5,148.47	Professional		$2,111.42	$2,923.37	$5,148.47