Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,036.26 / $11,646.30 / $15,927.20	Facility		$5,036.26	$11,646.30	$15,927.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $14,000.80	Professional		$5,036.26	$5,036.26	$14,000.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,261.70 / $8,508.84 / $14,951.39	Facility		$5,261.70	$8,508.84	$14,951.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,200.00 / $8,205.42	Professional		$3,500.00	$4,200.00	$8,205.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,055.75 / $5,055.75 / $8,594.78	Facility		$5,055.75	$5,055.75	$8,594.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,745.00 / $3,745.00 / $5,055.75	Professional		$3,745.00	$3,745.00	$5,055.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $8,419.12	Professional		$5,351.02	$5,351.02	$8,419.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $8,419.12	Professional		$5,351.02	$5,351.02	$8,419.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,243.00 / $7,490.00 / $7,939.40	Professional		$5,243.00	$7,490.00	$7,939.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,923.47 / $5,923.47 / $5,923.47	Facility		$5,923.47	$5,923.47	$5,923.47
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,674.18	Professional		$5,246.10	$5,246.10	$5,674.18