Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.75 / $7,234.76 / $11,627.00	Facility		$1,958.75	$7,234.76	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.75 / $1,958.75 / $3,996.25	Professional		$1,958.75	$1,958.75	$3,996.25
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 $1,635.62 / $2,291.69 / $3,898.21	Professional		$1,635.62	$2,291.69	$3,898.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,054.38 / $2,492.57 / $3,085.10	Facility		$2,054.38	$2,492.57	$3,085.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,979.72 / $2,284.85 / $2,284.85	Professional		$1,979.72	$2,284.85	$2,284.85
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 $1,831.78 / $2,878.01 / $4,407.00	Professional		$1,831.78	$2,878.01	$4,407.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,047.21 / $2,944.54 / $4,407.00	Professional		$2,047.21	$2,944.54	$4,407.00
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 $2,062.34 / $2,874.51 / $4,762.96	Professional		$2,062.34	$2,874.51	$4,762.96