Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,201.43 / $9,496.00 / $16,170.20	Facility		$4,201.43	$9,496.00	$16,170.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,201.43 / $4,201.43 / $8,419.01	Professional		$4,201.43	$4,201.43	$8,419.01
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 $3,319.59 / $4,530.26 / $7,963.56	Professional		$3,319.59	$4,530.26	$7,963.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,374.80 / $5,341.90 / $6,611.76	Facility		$4,374.80	$5,341.90	$6,611.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,527.15 / $4,896.74 / $4,896.74	Professional		$3,527.15	$4,896.74	$4,896.74
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 $3,539.45 / $6,232.21 / $9,479.07	Professional		$3,539.45	$6,232.21	$9,479.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,879.48 / $6,232.21 / $9,479.07	Professional		$3,879.48	$6,232.21	$9,479.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $582.15 / $3,830.60 / $6,270.43	Professional		$582.15	$3,830.60	$6,270.43
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 $4,053.80 / $6,009.63 / $10,480.74	Professional		$4,053.80	$6,009.63	$10,480.74