Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.25 / $2,855.84 / $4,678.71	Facility		$1,215.25	$2,855.84	$4,678.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.33 / $1,215.25 / $1,245.63	Professional		$1,063.33	$1,215.25	$1,245.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,422.00 / $8,422.00 / $8,422.00	Facility		$8,422.00	$8,422.00	$8,422.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $277.42 / $1,971.73	Professional		$203.28	$277.42	$1,971.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,519.06 / $4,443.25 / $41,999.58	Facility		$1,519.06	$4,443.25	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,587.91 / $3,645.74 / $35,727.99	Professional		$1,587.91	$3,645.74	$35,727.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,355.69 / $1,564.03 / $8,795.87	Facility		$1,355.69	$1,564.03	$8,795.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,551.20 / $8,551.20 / $8,551.20	Professional		$8,551.20	$8,551.20	$8,551.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,355.69 / $1,564.03 / $8,795.87	Facility		$1,355.69	$1,564.03	$8,795.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.01 / $911.44 / $1,989.97	Professional		$638.01	$911.44	$1,989.97