Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,079.94 / $9,496.00 / $15,710.80	Facility		$4,079.94	$9,496.00	$15,710.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,079.94 / $4,079.94 / $8,726.49	Professional		$4,079.94	$4,079.94	$8,726.49
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 $3,509.76 / $4,769.89 / $8,562.91	Professional		$3,509.76	$4,769.89	$8,562.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,249.49 / $5,187.96 / $6,421.23	Facility		$4,249.49	$5,187.96	$6,421.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,843.20 / $4,755.63 / $4,755.63	Professional		$3,843.20	$4,755.63	$4,755.63
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 $4,047.23 / $6,089.73 / $9,251.86	Professional		$4,047.23	$6,089.73	$9,251.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,323.30 / $6,493.18 / $9,251.86	Professional		$4,323.30	$6,493.18	$9,251.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.71 / $3,691.82 / $6,080.65	Professional		$562.71	$3,691.82	$6,080.65
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 $4,418.89 / $5,983.91 / $10,341.82	Professional		$4,418.89	$5,983.91	$10,341.82