Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,900.19 / $6,706.69 / $9,171.86	Facility		$2,900.19	$6,706.69	$9,171.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,900.19 / $2,900.19 / $8,062.53	Professional		$2,900.19	$2,900.19	$8,062.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,486.06 / $4,295.35 / $7,412.15	Facility		$2,486.06	$4,295.35	$7,412.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,171.61 / $2,453.83 / $4,725.20	Professional		$2,171.61	$2,453.83	$4,725.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,001.61 / $1,001.61 / $1,702.74	Facility		$1,001.61	$1,001.61	$1,702.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,001.61 / $1,001.61 / $1,001.61	Professional		$1,001.61	$1,001.61	$1,001.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $3,081.45	Facility		$3,081.45	$3,081.45	$3,081.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $4,848.26	Professional		$3,081.45	$3,081.45	$4,848.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,081.45 / $3,081.45 / $4,848.26	Professional		$3,081.45	$3,081.45	$4,848.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,532.10 / $2,877.38 / $3,337.76	Professional		$2,532.10	$2,877.38	$3,337.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,869.99 / $3,021.04 / $3,267.56	Professional		$2,869.99	$3,021.04	$3,267.56