Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,316.54 / $9,496.00 / $12,461.40	Facility		$3,316.54	$9,496.00	$12,461.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,316.54 / $3,316.54 / $7,045.49	Professional		$3,316.54	$3,316.54	$7,045.49
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 $2,838.06 / $3,877.61 / $6,886.42	Professional		$2,838.06	$3,877.61	$6,886.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,457.38 / $4,217.47 / $5,220.03	Facility		$3,457.38	$4,217.47	$5,220.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,074.80 / $3,866.02 / $3,866.02	Professional		$3,074.80	$3,866.02	$3,866.02
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 $3,205.88 / $4,920.38 / $7,521.15	Professional		$3,205.88	$4,920.38	$7,521.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,514.56 / $5,211.43 / $7,521.15	Professional		$3,514.56	$5,211.43	$7,521.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $442.04 / $2,988.65 / $4,915.53	Professional		$442.04	$2,988.65	$4,915.53
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 $3,578.04 / $4,791.87 / $8,161.81	Professional		$3,578.04	$4,791.87	$8,161.81