Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,040.83 / $7,564.31 / $11,627.00	Facility		$2,040.83	$7,564.31	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,025.00 / $2,040.83 / $4,216.43	Professional		$2,025.00	$2,040.83	$4,216.43
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 $1,803.48 / $2,430.14 / $4,129.47	Professional		$1,803.48	$2,430.14	$4,129.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,137.37 / $2,594.98 / $3,211.86	Facility		$2,137.37	$2,594.98	$3,211.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,091.17 / $2,378.73 / $2,378.73	Professional		$2,091.17	$2,378.73	$2,378.73
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 $1,808.50 / $3,027.49 / $4,625.89	Professional		$1,808.50	$3,027.49	$4,625.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,162.48 / $3,219.10 / $4,625.89	Professional		$2,162.48	$3,219.10	$4,625.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.07 / $1,859.47 / $3,037.70	Professional		$268.07	$1,859.47	$3,037.70
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 $2,158.58 / $2,925.96 / $4,976.18	Professional		$2,158.58	$2,925.96	$4,976.18