Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.58 / $7,351.14 / $11,627.00	Facility		$1,987.58	$7,351.14	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.58 / $1,987.58 / $4,080.67	Professional		$1,987.58	$1,987.58	$4,080.67
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 $1,747.75 / $2,532.66 / $3,974.61	Professional		$1,747.75	$2,532.66	$3,974.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,085.14 / $2,529.41 / $3,130.70	Facility		$2,085.14	$2,529.41	$3,130.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,238.44 / $2,318.62 / $2,318.62	Professional		$2,238.44	$2,318.62	$2,318.62
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 $1,880.58 / $2,950.98 / $4,496.50	Professional		$1,880.58	$2,950.98	$4,496.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,088.65 / $3,022.98 / $4,496.50	Professional		$2,088.65	$3,022.98	$4,496.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,804.28 / $2,937.09	Professional		$236.73	$1,804.28	$2,937.09
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 $2,109.32 / $2,845.58 / $5,133.38	Professional		$2,109.32	$2,845.58	$5,133.38