Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,324.48 / $8,631.12 / $11,627.00	Facility		$2,324.48	$8,631.12	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,324.48 / $2,324.48 / $4,688.50	Professional		$2,324.48	$2,324.48	$4,688.50
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 $2,025.62 / $2,739.79 / $4,584.85	Professional		$2,025.62	$2,739.79	$4,584.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,434.73 / $2,956.61 / $3,659.45	Facility		$2,434.73	$2,956.61	$3,659.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,275.46 / $2,710.22 / $2,710.22	Professional		$2,275.46	$2,710.22	$2,710.22
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 $2,060.42 / $3,449.37 / $5,232.59	Professional		$2,060.42	$3,449.37	$5,232.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,463.84 / $3,661.10 / $5,232.59	Professional		$2,463.84	$3,661.10	$5,232.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $2,104.56 / $3,444.61	Professional		$324.55	$2,104.56	$3,444.61
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 $2,456.62 / $3,424.06 / $6,442.88	Professional		$2,456.62	$3,424.06	$6,442.88