Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $28,840.32	Facility		$15,488.17	$15,488.17	$28,840.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $16,218.10 / $19,498.45	Professional		$15,488.17	$16,218.10	$19,498.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,943.28 / $104,712.85	Facility		$3,388.44	$7,943.28	$104,712.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $11,748.98 / $19,054.61	Professional		$9,120.11	$11,748.98	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $19,498.45	Professional		$16,595.87	$16,595.87	$19,498.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $19,498.45	Professional		$16,595.87	$16,595.87	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $21,379.62 / $37,153.52	Professional		$17,378.01	$21,379.62	$37,153.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $4,265.80	Facility		$3,162.28	$3,162.28	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $17,782.79	Professional		$16,218.10	$16,218.10	$17,782.79