Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,766.53 / $9,496.00 / $14,127.50	Facility		$3,766.53	$9,496.00	$14,127.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,766.53 / $3,766.53 / $9,868.31	Professional		$3,766.53	$3,766.53	$9,868.31
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 $2,819.24 / $4,003.32 / $6,763.24	Professional		$2,819.24	$4,003.32	$6,763.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,994.33 / $4,800.18 / $5,941.28	Facility		$3,994.33	$4,800.18	$5,941.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,754.40 / $4,400.18 / $4,400.18	Professional		$2,754.40	$4,400.18	$4,400.18
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 $3,230.82 / $5,363.21 / $8,529.79	Professional		$3,230.82	$5,363.21	$8,529.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,637.32 / $5,600.22 / $8,529.79	Professional		$3,637.32	$5,600.22	$8,529.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $509.13 / $3,435.53 / $5,644.80	Professional		$509.13	$3,435.53	$5,644.80
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 $3,723.16 / $5,400.22 / $9,260.19	Professional		$3,723.16	$5,400.22	$9,260.19