Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $5,249.48 / $9,332.40	Facility		$3,030.00	$5,249.48	$9,332.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,121.00 / $2,121.00 / $3,110.00	Professional		$2,121.00	$2,121.00	$3,110.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,740.00 / $3,939.00	Professional		$1,275.00	$1,740.00	$3,939.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $8,862.75 / $70,902.00	Facility		$3,030.00	$8,862.75	$70,902.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,167.38 / $7,272.00 / $71,265.95	Professional		$3,167.38	$7,272.00	$71,265.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,704.12 / $3,119.69 / $17,292.21	Facility		$2,704.12	$3,119.69	$17,292.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,704.12 / $3,119.69 / $20,427.84	Facility		$2,704.12	$3,119.69	$20,427.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,386.12 / $2,727.00 / $3,295.12	Professional		$2,386.12	$2,727.00	$3,295.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,818.00 / $4,001.72	Professional		$1,272.59	$1,818.00	$4,001.72