Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,971.48 / $9,044.83 / $11,627.00	Facility		$2,971.48	$9,044.83	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,971.48 / $2,971.48 / $5,989.03	Professional		$2,971.48	$2,971.48	$5,989.03
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 $2,388.94 / $3,372.62 / $5,730.97	Professional		$2,388.94	$3,372.62	$5,730.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,118.91 / $3,765.59 / $5,883.74	Facility		$3,118.91	$3,765.59	$5,883.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,451.79 / $3,451.79 / $6,119.09	Professional		$3,451.79	$3,451.79	$6,119.09
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 $2,628.16 / $4,360.33 / $6,745.75	Professional		$2,628.16	$4,360.33	$6,745.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,044.36 / $4,446.51 / $6,745.75	Professional		$3,044.36	$4,446.51	$6,745.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $406.25 / $2,678.59 / $4,396.78	Professional		$406.25	$2,678.59	$4,396.78
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 $3,157.01 / $4,400.27 / $8,236.17	Professional		$3,157.01	$4,400.27	$8,236.17