Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,899.04 / $7,155.00 / $11,627.00	Facility		$1,899.04	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,899.04 / $1,899.04 / $3,931.21	Professional		$1,899.04	$1,899.04	$3,931.21
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 $1,677.39 / $2,356.82 / $3,830.08	Professional		$1,677.39	$2,356.82	$3,830.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,991.91 / $2,415.38 / $2,989.56	Facility		$1,991.91	$2,415.38	$2,989.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,209.06 / $2,214.10 / $2,214.10	Professional		$2,209.06	$2,214.10	$2,214.10
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 $1,779.92 / $2,817.60 / $4,282.64	Professional		$1,779.92	$2,817.60	$4,282.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,970.39 / $2,861.18 / $4,282.64	Professional		$1,970.39	$2,861.18	$4,282.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,729.02 / $2,836.80	Professional		$236.73	$1,729.02	$2,836.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,012.57 / $2,717.31 / $4,613.89	Professional		$2,012.57	$2,717.31	$4,613.89