Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.88 / $6,690.13 / $11,627.00	Facility		$1,814.88	$6,690.13	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,814.88 / $1,814.88 / $3,773.00	Professional		$1,814.88	$1,814.88	$3,773.00
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 $1,524.27 / $2,112.35 / $3,656.68	Professional		$1,524.27	$2,112.35	$3,656.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,905.40 / $2,308.75 / $2,857.58	Facility		$1,905.40	$2,308.75	$2,857.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,807.13 / $2,116.36 / $2,116.36	Professional		$1,807.13	$2,116.36	$2,116.36
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 $1,687.77 / $2,693.55 / $4,085.25	Professional		$1,687.77	$2,693.55	$4,085.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,890.24 / $2,713.05 / $4,085.25	Professional		$1,890.24	$2,713.05	$4,085.25
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 $1,933.86 / $2,653.82 / $4,406.35	Professional		$1,933.86	$2,653.82	$4,406.35