Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,739.80 / $16,739.80 / $16,739.80	Facility		$16,739.80	$16,739.80	$16,739.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.90 / $1,327.90 / $1,555.54	Professional		$1,327.90	$1,327.90	$1,555.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,890.02 / $3,905.54	Professional		$1,549.20	$1,890.02	$3,905.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,050.18 / $15,897.38 / $127,179.00	Facility		$5,050.18	$15,897.38	$127,179.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,839.76 / $69,440.02 / $150,391.49	Professional		$4,839.76	$69,440.02	$150,391.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,995.08 / $3,995.08 / $3,995.08	Facility		$3,995.08	$3,995.08	$3,995.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,995.08 / $3,995.08 / $3,995.08	Facility		$3,995.08	$3,995.08	$3,995.08
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 $796.74 / $1,138.20 / $5,435.00	Professional		$796.74	$1,138.20	$5,435.00