Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,809.74 / $6,016.00 / $13,620.05	Facility		$2,809.74	$6,016.00	$13,620.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,294.16	Professional		$4,041.56	$4,041.56	$4,294.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,113.90 / $1,849.80 / $9,851.31	Facility		$1,113.90	$1,849.80	$9,851.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,934.59 / $2,740.29 / $5,136.14	Professional		$1,934.59	$2,740.29	$5,136.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,232.43 / $4,232.43 / $7,195.15	Facility		$4,232.43	$4,232.43	$7,195.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $4,232.43 / $4,232.43	Professional		$106.31	$4,232.43	$4,232.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $5,051.95	Professional		$4,294.16	$4,294.16	$5,051.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $6,434.50	Professional		$4,294.16	$4,294.16	$6,434.50
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 $4,209.96 / $4,209.96 / $5,481.37	Professional		$4,209.96	$4,209.96	$5,481.37