Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $6,670.00 / $11,928.80	Facility		$3,098.40	$6,670.00	$11,928.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $3,098.40 / $3,175.86	Professional		$2,711.10	$3,098.40	$3,175.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.14 / $1,332.14 / $5,027.14	Professional		$976.14	$1,332.14	$5,027.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $11,328.53 / $90,628.20	Facility		$3,873.00	$11,328.53	$90,628.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,048.56 / $9,295.20 / $91,092.68	Professional		$4,048.56	$9,295.20	$91,092.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,405.54 / $8,156.54 / $26,111.24	Facility		$4,405.54	$8,156.54	$26,111.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,405.54 / $8,156.54 / $26,111.24	Facility		$4,405.54	$8,156.54	$26,111.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,115.07	Professional		$1,626.66	$2,323.80	$5,115.07