Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,745.55 / $8,866.42 / $11,627.00	Facility		$2,745.55	$8,866.42	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,745.55 / $2,745.55 / $7,193.34	Professional		$2,745.55	$2,745.55	$7,193.34
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 $2,116.71 / $3,013.21 / $5,077.93	Professional		$2,116.71	$3,013.21	$5,077.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,887.55 / $3,479.33 / $4,306.43	Facility		$2,887.55	$3,479.33	$4,306.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,506.75 / $3,189.38 / $3,189.38	Professional		$2,506.75	$3,189.38	$3,189.38
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 $2,316.55 / $3,971.29 / $5,737.65	Professional		$2,316.55	$3,971.29	$5,737.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,681.64 / $4,059.21 / $5,737.65	Professional		$2,681.64	$4,059.21	$5,737.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.83 / $2,855.38 / $4,207.02	Professional		$417.83	$2,855.38	$4,207.02
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 $2,616.34 / $3,578.38 / $5,897.66	Professional		$2,616.34	$3,578.38	$5,897.66