Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,678.89 / $12,691.50 / $16,668.59	Facility		$4,678.89	$12,691.50	$16,668.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,772.47 / $6,236.97	Professional		$4,678.89	$4,772.47	$6,236.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $7,749.44 / $12,915.73	Facility		$0.03	$7,749.44	$12,915.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,166.29 / $5,779.52 / $8,322.89	Professional		$5,166.29	$5,779.52	$8,322.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,583.64 / $4,591.21 / $6,232.41	Facility		$3,583.64	$4,591.21	$6,232.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,244.99	Facility		$4,971.34	$4,971.34	$5,244.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,848.63	Professional		$4,971.34	$4,971.34	$5,848.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Facility		$4,971.34	$4,971.34	$4,971.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $5,848.63	Professional		$4,971.34	$4,971.34	$5,848.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,166.29 / $5,941.23 / $7,450.30	Professional		$5,166.29	$5,941.23	$7,450.30
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $4,873.85 / $5,848.63	Professional		$4,873.85	$4,873.85	$5,848.63