Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $8,773.00 / $15,400.00	Facility		$4,000.00	$8,773.00	$15,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,000.00 / $5,000.00	Professional		$3,500.00	$4,000.00	$5,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $5,400.00 / $8,848.50	Facility		$4,415.00	$5,400.00	$8,848.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $5,400.00 / $12,110.61	Professional		$2,000.00	$5,400.00	$12,110.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $14,625.00 / $117,000.00	Facility		$5,000.00	$14,625.00	$117,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,226.99 / $12,000.00 / $117,607.25	Professional		$5,226.99	$12,000.00	$117,607.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,144.75 / $5,148.00 / $28,951.65	Facility		$5,144.75	$5,148.00	$28,951.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,143.04 / $28,143.04 / $28,143.04	Professional		$28,143.04	$28,143.04	$28,143.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,144.75 / $5,148.00 / $28,951.65	Facility		$5,144.75	$5,148.00	$28,951.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,937.50 / $4,500.00 / $5,437.50	Professional		$3,937.50	$4,500.00	$5,437.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,000.00 / $8,065.00	Professional		$2,100.00	$3,000.00	$8,065.00