Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.97 / $7,247.34 / $11,627.00	Facility		$1,954.97	$7,247.34	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,954.97 / $1,954.97 / $3,895.53	Professional		$1,954.97	$1,954.97	$3,895.53
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 $1,483.29 / $2,111.51 / $3,558.33	Professional		$1,483.29	$2,111.51	$3,558.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,046.42 / $2,487.42 / $3,078.72	Facility		$2,046.42	$2,487.42	$3,078.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,825.39 / $2,280.14 / $2,280.14	Professional		$1,825.39	$2,280.14	$2,280.14
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 $1,718.76 / $2,819.03 / $4,400.70	Professional		$1,718.76	$2,819.03	$4,400.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,903.12 / $2,901.98 / $4,400.70	Professional		$1,903.12	$2,901.98	$4,400.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $236.73 / $1,767.41 / $2,886.53	Professional		$236.73	$1,767.41	$2,886.53
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 $1,971.63 / $2,876.30 / $5,060.60	Professional		$1,971.63	$2,876.30	$5,060.60