Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.16 / $4,554.30 / $11,627.00	Facility		$949.16	$4,554.30	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,346.55 / $2,346.55 / $4,950.97	Professional		$2,346.55	$2,346.55	$4,950.97
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 $2,010.56 / $2,744.46 / $4,823.26	Professional		$2,010.56	$2,744.46	$4,823.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,454.48 / $2,985.01 / $3,694.60	Facility		$2,454.48	$2,985.01	$3,694.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,349.23 / $2,736.26 / $2,736.26	Professional		$2,349.23	$2,736.26	$2,736.26
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 $2,250.03 / $3,482.51 / $5,323.26	Professional		$2,250.03	$3,482.51	$5,323.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,487.51 / $3,634.21 / $5,323.26	Professional		$2,487.51	$3,634.21	$5,323.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $2,136.01 / $3,510.25	Professional		$324.55	$2,136.01	$3,510.25
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 $2,514.75 / $3,370.54 / $6,082.51	Professional		$2,514.75	$3,370.54	$6,082.51