Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,184.48 / $8,050.77 / $11,627.00	Facility		$2,184.48	$8,050.77	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,177.71 / $2,184.48 / $4,580.87	Professional		$2,177.71	$2,184.48	$4,580.87
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 $1,870.28 / $2,560.28 / $4,486.74	Professional		$1,870.28	$2,560.28	$4,486.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,296.06 / $2,780.40 / $3,441.34	Facility		$2,296.06	$2,780.40	$3,441.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,459.63 / $2,548.69 / $2,548.69	Professional		$2,459.63	$2,548.69	$2,548.69
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 $2,082.41 / $3,110.51 / $4,899.14	Professional		$2,082.41	$3,110.51	$4,899.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,317.00 / $3,238.55 / $4,899.14	Professional		$2,317.00	$3,238.55	$4,899.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $2,276.65 / $3,348.02	Professional		$341.94	$2,276.65	$3,348.02
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 $2,255.73 / $3,127.95 / $5,301.58	Professional		$2,255.73	$3,127.95	$5,301.58