Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,775.30 / $3,900.00 / $6,834.90	Facility		$1,775.30	$3,900.00	$6,834.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,509.01 / $1,775.30 / $1,775.30	Professional		$1,509.01	$1,775.30	$1,775.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $2,611.94	Professional		$1,549.20	$1,549.20	$2,611.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,021.48 / $2,354.27 / $43,273.04	Facility		$2,021.48	$2,354.27	$43,273.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,886.26 / $2,729.00 / $40,934.97	Professional		$1,886.26	$2,729.00	$40,934.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,092.64 / $2,524.25 / $12,849.45	Facility		$1,092.64	$2,524.25	$12,849.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,549.86 / $2,549.86 / $3,187.33	Professional		$2,549.86	$2,549.86	$3,187.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,092.64 / $1,442.43 / $12,849.45	Facility		$1,092.64	$1,442.43	$12,849.45
United Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $1,331.48 / $3,579.46	Professional		$932.03	$1,331.48	$3,579.46