Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,806.61 / $6,664.64 / $11,627.00	Facility		$1,806.61	$6,664.64	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,806.61 / $1,806.61 / $3,612.65	Professional		$1,806.61	$1,806.61	$3,612.65
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 $1,493.05 / $2,125.61 / $3,527.87	Professional		$1,493.05	$2,125.61	$3,527.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,894.75 / $2,297.56 / $2,843.72	Facility		$1,894.75	$2,297.56	$2,843.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,978.16 / $2,106.09 / $2,106.09	Professional		$1,978.16	$2,106.09	$2,106.09
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 $1,703.61 / $2,652.12 / $4,065.17	Professional		$1,703.61	$2,652.12	$4,065.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,895.64 / $2,738.51 / $4,065.17	Professional		$1,895.64	$2,738.51	$4,065.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,652.60 / $2,703.76	Professional		$236.73	$1,652.60	$2,703.76
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 $1,900.86 / $2,749.46 / $4,661.47	Professional		$1,900.86	$2,749.46	$4,661.47