Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,899.70 / $8,956.00 / $11,627.00	Facility		$2,899.70	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,899.70 / $2,899.70 / $6,002.70	Professional		$2,899.70	$2,899.70	$6,002.70
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 $2,445.04 / $3,336.76 / $5,865.55	Professional		$2,445.04	$3,336.76	$5,865.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,034.67 / $3,688.31 / $4,565.08	Facility		$3,034.67	$3,688.31	$4,565.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,838.59 / $3,380.95 / $3,380.95	Professional		$2,838.59	$3,380.95	$3,380.95
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 $2,767.35 / $4,302.28 / $6,570.66	Professional		$2,767.35	$4,302.28	$6,570.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,073.59 / $4,448.43 / $6,570.66	Professional		$3,073.59	$4,448.43	$6,570.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.86 / $2,626.53 / $4,316.65	Professional		$373.86	$2,626.53	$4,316.65
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 $3,073.06 / $4,255.00 / $7,087.68	Professional		$3,073.06	$4,255.00	$7,087.68