Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,335.53 / $8,119.96 / $11,627.00	Facility		$2,335.53	$8,119.96	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,335.53 / $2,335.53 / $4,084.22	Professional		$2,335.53	$2,335.53	$4,084.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,489.11 / $24,772.14	Facility		$4,142.00	$14,489.11	$24,772.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,093.23 / $2,771.30 / $5,020.33	Professional		$2,093.23	$2,771.30	$5,020.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,362.98 / $2,835.59 / $3,766.02	Facility		$2,362.98	$2,835.59	$3,766.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,599.29 / $2,599.29 / $4,607.84	Professional		$2,599.29	$2,599.29	$4,607.84
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 $2,008.44 / $3,308.18 / $5,056.79	Professional		$2,008.44	$3,308.18	$5,056.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,343.54 / $3,357.72 / $4,986.93	Professional		$2,343.54	$3,357.72	$4,986.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.14 / $2,060.21 / $3,330.73	Professional		$198.14	$2,060.21	$3,330.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,291.73 / $3,190.04 / $5,196.10	Professional		$2,291.73	$3,190.04	$5,196.10