Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,712.80 / $6,006.00	Facility		$1,950.00	$3,712.80	$6,006.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.40 / $1,228.50 / $1,667.25	Professional		$1,193.40	$1,228.50	$1,667.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,670.40 / $3,040.12	Professional		$1,224.00	$1,670.40	$3,040.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $5,703.75 / $45,630.00	Facility		$1,950.00	$5,703.75	$45,630.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,038.32 / $4,680.00 / $45,862.11	Professional		$2,038.32	$4,680.00	$45,862.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,218.13 / $3,696.03 / $13,146.64	Facility		$2,218.13	$3,696.03	$13,146.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,218.13 / $3,696.03 / $13,146.64	Facility		$2,218.13	$3,696.03	$13,146.64
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 / $2,554.50	Professional		$737.10	$1,053.00	$2,554.50