Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.51 / $8,108.13 / $11,627.00	Facility		$2,191.51	$8,108.13	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,176.06 / $2,191.51 / $4,623.34	Professional		$2,176.06	$2,191.51	$4,623.34
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 $1,888.59 / $2,714.16 / $4,451.67	Professional		$1,888.59	$2,714.16	$4,451.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,297.33 / $2,788.55 / $4,357.10	Facility		$2,297.33	$2,788.55	$4,357.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,556.17 / $2,556.17 / $4,531.39	Professional		$2,556.17	$2,556.17	$4,531.39
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 $2,095.51 / $3,253.30 / $4,969.71	Professional		$2,095.51	$3,253.30	$4,969.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,323.79 / $3,407.32 / $4,969.71	Professional		$2,323.79	$3,407.32	$4,969.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $1,975.60 / $3,243.07	Professional		$324.55	$1,975.60	$3,243.07
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 $2,309.98 / $3,252.14 / $5,664.77	Professional		$2,309.98	$3,252.14	$5,664.77