Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $6,020.00 / $10,780.00	Facility		$2,800.00	$6,020.00	$10,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.73 / $2,800.00 / $2,870.00	Professional		$1,793.73	$2,800.00	$2,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $3,780.00 / $8,477.42	Professional		$239.16	$3,780.00	$8,477.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $10,237.50 / $81,900.00	Facility		$3,500.00	$10,237.50	$81,900.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,658.69 / $8,400.00 / $82,320.50	Professional		$3,658.69	$8,400.00	$82,320.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,123.58 / $3,603.60 / $20,266.16	Facility		$3,123.58	$3,603.60	$20,266.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19,700.91 / $19,700.91 / $19,700.91	Professional		$19,700.91	$19,700.91	$19,700.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,123.58 / $3,603.60 / $20,266.16	Facility		$3,123.58	$3,603.60	$20,266.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,887.50 / $2,887.50 / $2,887.50	Professional		$2,887.50	$2,887.50	$2,887.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $4,622.45	Professional		$1,470.00	$2,100.00	$4,622.45