Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,368.27 / $8,913.00 / $70,767.77	Facility		$2,368.27	$8,913.00	$70,767.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,368.27 / $2,368.27 / $4,882.96	Professional		$2,368.27	$2,368.27	$4,882.96
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 $1,991.90 / $2,770.09 / $4,707.99	Professional		$1,991.90	$2,770.09	$4,707.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,477.11 / $3,012.89 / $3,729.10	Facility		$2,477.11	$3,012.89	$3,729.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,647.00 / $2,761.81 / $2,761.81	Professional		$2,647.00	$2,761.81	$2,761.81
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 $2,251.67 / $3,499.73 / $5,337.18	Professional		$2,251.67	$3,499.73	$5,337.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,510.73 / $3,619.53 / $5,337.18	Professional		$2,510.73	$3,619.53	$5,337.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $2,150.45 / $3,533.52	Professional		$324.55	$2,150.45	$3,533.52
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 $2,484.57 / $3,452.79 / $5,781.60	Professional		$2,484.57	$3,452.79	$5,781.60