Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.00 / $3,018.60 / $5,405.40	Facility		$1,404.00	$3,018.60	$5,405.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.50 / $1,404.00 / $1,439.10	Professional		$1,228.50	$1,404.00	$1,439.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.66 / $516.23 / $1,233.86	Professional		$359.66	$516.23	$1,233.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $5,133.38 / $45,418.28	Facility		$1,755.00	$5,133.38	$45,418.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,834.76 / $4,212.00 / $41,282.12	Professional		$1,834.76	$4,212.00	$41,282.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.31 / $2,213.06 / $11,831.97	Facility		$1,996.31	$2,213.06	$11,831.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,996.31 / $2,213.06 / $11,831.97	Facility		$1,996.31	$2,213.06	$11,831.97
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 $737.10 / $1,053.00 / $2,557.04	Professional		$737.10	$1,053.00	$2,557.04