Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,980.17 / $7,417.00 / $11,627.00	Facility		$1,980.17	$7,417.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,967.36 / $1,980.17 / $4,089.18	Professional		$1,967.36	$1,980.17	$4,089.18
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 $1,651.05 / $2,267.73 / $4,011.38	Professional		$1,651.05	$2,267.73	$4,011.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,076.32 / $2,519.71 / $3,118.69	Facility		$2,076.32	$2,519.71	$3,118.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,769.54 / $2,309.73 / $2,309.73	Professional		$1,769.54	$2,309.73	$2,309.73
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 $1,879.75 / $2,930.81 / $4,455.72	Professional		$1,879.75	$2,930.81	$4,455.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,085.46 / $3,021.65 / $4,455.72	Professional		$2,085.46	$3,021.65	$4,455.72
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 $2,085.42 / $2,846.49 / $5,114.08	Professional		$2,085.42	$2,846.49	$5,114.08