Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,834.39 / $3,699.88 / $5,985.09	Facility		$1,834.39	$3,699.88	$5,985.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.25 / $1,360.25 / $1,554.57	Professional		$1,360.25	$1,360.25	$1,554.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,332.14 / $2,643.57	Professional		$976.14	$1,332.14	$2,643.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,943.21 / $5,683.89 / $45,499.55	Facility		$1,943.21	$5,683.89	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,031.21 / $4,663.70 / $45,702.29	Professional		$2,031.21	$4,663.70	$45,702.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.22 / $2,000.73 / $11,251.85	Facility		$1,734.22	$2,000.73	$11,251.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,937.37 / $10,937.37 / $10,937.37	Professional		$10,937.37	$10,937.37	$10,937.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,734.22 / $2,000.73 / $11,251.85	Facility		$1,734.22	$2,000.73	$11,251.85
United Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $1,165.93 / $2,831.26	Professional		$816.15	$1,165.93	$2,831.26