Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,260.07 / $8,058.21 / $11,627.00	Facility		$2,260.07	$8,058.21	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,260.07 / $2,260.07 / $4,554.75	Professional		$2,260.07	$2,260.07	$4,554.75
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 $1,657.46 / $2,291.41 / $4,018.71	Professional		$1,657.46	$2,291.41	$4,018.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,374.19 / $2,849.03 / $3,526.30	Facility		$2,374.19	$2,849.03	$3,526.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,873.88 / $2,611.61 / $2,611.61	Professional		$1,873.88	$2,611.61	$2,611.61
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 $1,943.42 / $3,259.37 / $5,080.76	Professional		$1,943.42	$3,259.37	$5,080.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,112.75 / $3,323.86 / $5,080.76	Professional		$2,112.75	$3,323.86	$5,080.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.05 / $2,070.76 / $3,378.19	Professional		$300.05	$2,070.76	$3,378.19
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 $2,185.06 / $3,205.16 / $5,378.82	Professional		$2,185.06	$3,205.16	$5,378.82