Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,165.94 / $6,920.10 / $11,627.00	Facility		$2,165.94	$6,920.10	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.04 / $1,969.04 / $4,934.00	Professional		$1,969.04	$1,969.04	$4,934.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,756.12 / $2,363.21 / $4,218.60	Professional		$1,756.12	$2,363.21	$4,218.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,988.53 / $2,386.23 / $3,728.49	Facility		$1,988.53	$2,386.23	$3,728.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,187.38 / $2,187.38 / $3,877.64	Professional		$2,187.38	$2,187.38	$3,877.64
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 $1,688.09 / $2,783.94 / $4,255.45	Professional		$1,688.09	$2,783.94	$4,255.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,988.53 / $2,895.91 / $4,193.49	Professional		$1,988.53	$2,895.91	$4,193.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $1,758.91 / $2,829.82	Professional		$157.85	$1,758.91	$2,829.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,980.21 / $2,684.52 / $4,335.02	Professional		$1,980.21	$2,684.52	$4,335.02