Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.95 / $7,344.80 / $11,627.00	Facility		$1,982.95	$7,344.80	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,982.95 / $1,982.95 / $4,224.22	Professional		$1,982.95	$1,982.95	$4,224.22
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 $1,794.48 / $2,387.02 / $4,117.85	Professional		$1,794.48	$2,387.02	$4,117.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,077.32 / $2,521.28 / $3,120.64	Facility		$2,077.32	$2,521.28	$3,120.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,111.58 / $2,311.17 / $2,311.17	Professional		$2,111.58	$2,311.17	$2,311.17
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 $1,757.29 / $2,941.49 / $4,496.28	Professional		$1,757.29	$2,941.49	$4,496.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,101.07 / $3,120.05 / $4,496.28	Professional		$2,101.07	$3,120.05	$4,496.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,786.59 / $2,924.13	Professional		$236.73	$1,786.59	$2,924.13
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 $2,120.44 / $2,887.91 / $4,830.16	Professional		$2,120.44	$2,887.91	$4,830.16