Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,220.17 / $9,621.99 / $11,732.10	Facility		$4,220.17	$9,621.99	$11,732.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $7,306.38	Professional		$4,220.17	$4,220.17	$7,306.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,193.11 / $4,165.70 / $6,666.85	Professional		$3,193.11	$4,165.70	$6,666.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,322.33 / $1,615.52 / $1,974.52	Facility		$1,322.33	$1,615.52	$1,974.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $5,275.21	Professional		$4,483.93	$4,483.93	$5,275.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $5,275.21	Professional		$4,483.93	$4,483.93	$5,275.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $140.96 / $226.30	Professional		$129.93	$140.96	$226.30
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $6,910.53	Professional		$5,275.21	$5,275.21	$6,910.53