Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,571.64 / $8,956.00 / $11,627.00	Facility		$2,571.64	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.64 / $2,571.64 / $6,737.70	Professional		$2,571.64	$2,571.64	$6,737.70
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 $1,963.60 / $2,795.24 / $4,710.60	Professional		$1,963.60	$2,795.24	$4,710.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,712.29 / $3,254.75 / $4,028.46	Facility		$2,712.29	$3,254.75	$4,028.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,317.94 / $2,983.52 / $2,983.52	Professional		$2,317.94	$2,983.52	$2,983.52
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 $2,163.25 / $3,797.21 / $5,846.60	Professional		$2,163.25	$3,797.21	$5,846.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,509.08 / $3,849.48 / $5,846.60	Professional		$2,509.08	$3,849.48	$5,846.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.49 / $2,346.11 / $3,853.83	Professional		$371.49	$2,346.11	$3,853.83
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 $2,642.93 / $3,677.05 / $6,275.84	Professional		$2,642.93	$3,677.05	$6,275.84