Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,280.21 / $8,455.10 / $11,627.00	Facility		$2,280.21	$8,455.10	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,280.21 / $2,280.21 / $5,974.18	Professional		$2,280.21	$2,280.21	$5,974.18
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 $1,914.40 / $2,727.63 / $4,385.18	Professional		$1,914.40	$2,727.63	$4,385.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,385.92 / $2,900.58 / $3,590.10	Facility		$2,385.92	$2,900.58	$3,590.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,658.87 / $2,658.87 / $2,671.01	Professional		$2,658.87	$2,658.87	$2,671.01
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 $2,184.81 / $3,384.01 / $5,136.05	Professional		$2,184.81	$3,384.01	$5,136.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,415.21 / $3,556.70 / $5,136.05	Professional		$2,415.21	$3,556.70	$5,136.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $2,074.05 / $3,412.97	Professional		$324.55	$2,074.05	$3,412.97
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 $2,408.42 / $3,268.36 / $5,562.26	Professional		$2,408.42	$3,268.36	$5,562.26