Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,168.36 / $7,970.89 / $11,627.00	Facility		$2,168.36	$7,970.89	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,168.36 / $2,294.10 / $5,681.10	Professional		$2,168.36	$2,294.10	$5,681.10
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 $1,985.51 / $2,679.06 / $4,763.17	Professional		$1,985.51	$2,679.06	$4,763.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,285.92 / $2,743.12 / $4,286.12	Facility		$2,285.92	$2,743.12	$4,286.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,514.52 / $2,514.52 / $4,457.57	Professional		$2,514.52	$2,514.52	$4,457.57
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 $2,092.30 / $3,200.30 / $4,927.27	Professional		$2,092.30	$3,200.30	$4,927.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,285.92 / $3,463.15 / $4,927.27	Professional		$2,285.92	$3,463.15	$4,927.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.59 / $1,962.13 / $3,193.12	Professional		$302.59	$1,962.13	$3,193.12
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 $2,329.66 / $3,231.99 / $5,326.75	Professional		$2,329.66	$3,231.99	$5,326.75