Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.78 / $8,956.00 / $11,627.00	Facility		$2,421.78	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,421.78 / $2,421.78 / $4,832.64	Professional		$2,421.78	$2,421.78	$4,832.64
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 $1,723.98 / $2,459.82 / $4,204.50	Professional		$1,723.98	$2,459.82	$4,204.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,527.79 / $3,079.07 / $3,811.02	Facility		$2,527.79	$3,079.07	$3,811.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,212.26 / $2,822.48 / $2,822.48	Professional		$2,212.26	$2,822.48	$2,822.48
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 $2,036.45 / $3,553.71 / $5,457.30	Professional		$2,036.45	$3,553.71	$5,457.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,328.31 / $3,592.25 / $5,457.30	Professional		$2,328.31	$3,592.25	$5,457.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $2,166.25 / $3,561.86	Professional		$324.55	$2,166.25	$3,561.86
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 $2,399.53 / $3,521.24 / $6,712.54	Professional		$2,399.53	$3,521.24	$6,712.54