Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,535.94 / $8,913.00 / $11,627.00	Facility		$2,535.94	$8,913.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,522.79 / $2,535.94 / $6,644.16	Professional		$2,522.79	$2,535.94	$6,644.16
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 $1,884.76 / $2,683.01 / $4,521.47	Professional		$1,884.76	$2,683.01	$4,521.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,675.21 / $3,210.25 / $3,973.38	Facility		$2,675.21	$3,210.25	$3,973.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,225.67 / $2,942.73 / $2,942.73	Professional		$2,225.67	$2,942.73	$2,942.73
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 $2,125.42 / $3,567.96 / $5,766.34	Professional		$2,125.42	$3,567.96	$5,766.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,430.19 / $3,721.24 / $5,766.34	Professional		$2,430.19	$3,721.24	$5,766.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.49 / $2,290.22 / $3,798.19	Professional		$371.49	$2,290.22	$3,798.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,501.02 / $3,611.53 / $6,186.29	Professional		$2,501.02	$3,611.53	$6,186.29