Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,823.43 / $6,823.43 / $6,823.43	Facility		$6,823.43	$6,823.43	$6,823.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.78 / $1,550.78 / $1,772.32	Professional		$1,550.78	$1,550.78	$1,772.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $410.23 / $2,525.55	Professional		$336.26	$410.23	$2,525.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,058.60 / $6,480.05 / $51,840.36	Facility		$2,058.60	$6,480.05	$51,840.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,972.83 / $28,305.82 / $61,304.04	Professional		$1,972.83	$28,305.82	$61,304.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,665.63 / $4,665.63 / $4,665.63	Facility		$4,665.63	$4,665.63	$4,665.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,665.63 / $4,665.63 / $4,665.63	Facility		$4,665.63	$4,665.63	$4,665.63
United Facility/Professional Professional Modifier Low / Median / High Price $930.47 / $1,329.24 / $3,573.44	Professional		$930.47	$1,329.24	$3,573.44