Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,246.00 / $15,246.00 / $15,246.00	Facility		$15,246.00	$15,246.00	$15,246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,759.28 / $1,759.28 / $1,759.28	Professional		$1,759.28	$1,759.28	$1,759.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.82 / $423.68 / $5,989.50	Professional		$285.82	$423.68	$5,989.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,599.62 / $14,478.75 / $115,830.00	Facility		$4,599.62	$14,478.75	$115,830.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,407.97 / $63,244.90 / $136,974.24	Professional		$4,407.97	$63,244.90	$136,974.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,424.70 / $10,424.70 / $10,424.70	Facility		$10,424.70	$10,424.70	$10,424.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,761.01 / $3,761.01 / $3,761.01	Professional		$3,761.01	$3,761.01	$3,761.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10,424.70 / $10,424.70 / $10,424.70	Facility		$10,424.70	$10,424.70	$10,424.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,507.95 / $5,395.50	Professional		$1,055.57	$1,507.95	$5,395.50