Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,149.33 / $8,553.00 / $12,096.23	Facility		$2,149.33	$8,553.00	$12,096.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,149.33 / $2,149.33 / $4,481.68	Professional		$2,149.33	$2,149.33	$4,481.68
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 $1,854.49 / $2,523.90 / $4,342.10	Professional		$1,854.49	$2,523.90	$4,342.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,251.21 / $2,734.33 / $3,384.32	Facility		$2,251.21	$2,734.33	$3,384.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,225.79 / $2,506.46 / $2,506.46	Professional		$2,225.79	$2,506.46	$2,506.46
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 $2,052.46 / $3,190.06 / $4,863.51	Professional		$2,052.46	$3,190.06	$4,863.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,278.17 / $3,299.28 / $4,863.51	Professional		$2,278.17	$3,299.28	$4,863.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $2,241.61 / $3,298.45	Professional		$341.94	$2,241.61	$3,298.45
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 $2,286.16 / $3,076.12 / $5,237.89	Professional		$2,286.16	$3,076.12	$5,237.89