Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,102.29 / $7,775.98 / $11,627.00	Facility		$2,102.29	$7,775.98	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,102.29 / $2,102.29 / $4,347.96	Professional		$2,102.29	$2,102.29	$4,347.96
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 $1,853.49 / $2,494.71 / $4,239.18	Professional		$1,853.49	$2,494.71	$4,239.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,201.94 / $2,674.00 / $3,309.65	Facility		$2,201.94	$2,674.00	$3,309.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,337.59 / $2,451.16 / $2,451.16	Professional		$2,337.59	$2,451.16	$2,451.16
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 $2,001.22 / $3,116.29 / $4,757.31	Professional		$2,001.22	$3,116.29	$4,757.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,219.80 / $3,216.91 / $4,757.31	Professional		$2,219.80	$3,216.91	$4,757.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $2,162.08 / $3,191.34	Professional		$341.94	$2,162.08	$3,191.34
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 $2,225.92 / $3,055.91 / $5,117.38	Professional		$2,225.92	$3,055.91	$5,117.38