Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,317.64 / $8,553.00 / $11,627.00	Facility		$2,317.64	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,317.64 / $2,317.64 / $4,618.41	Professional		$2,317.64	$2,317.64	$4,618.41
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 $1,738.88 / $2,456.53 / $4,060.26	Professional		$1,738.88	$2,456.53	$4,060.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,424.03 / $2,947.56 / $3,648.24	Facility		$2,424.03	$2,947.56	$3,648.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,206.46 / $2,701.93 / $2,701.93	Professional		$2,206.46	$2,701.93	$2,701.93
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 $2,053.42 / $3,193.19 / $5,219.53	Professional		$2,053.42	$3,193.19	$5,219.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,220.59 / $3,316.01 / $5,219.53	Professional		$2,220.59	$3,316.01	$5,219.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.55 / $2,083.72 / $3,412.97	Professional		$324.55	$2,083.72	$3,412.97
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 $2,240.61 / $3,312.33 / $6,002.89	Professional		$2,240.61	$3,312.33	$6,002.89