Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,183.13 / $7,964.67 / $12,884.00	Facility		$4,183.13	$7,964.67	$12,884.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,844.53 / $2,928.20 / $3,472.00	Professional		$2,844.53	$2,928.20	$3,472.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $241.28 / $606.52	Professional		$176.80	$241.28	$606.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,183.13 / $12,235.66 / $97,885.25	Facility		$4,183.13	$12,235.66	$97,885.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,372.85 / $10,039.51 / $98,389.07	Professional		$4,372.85	$10,039.51	$98,389.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,758.30 / $5,274.92 / $28,202.05	Facility		$4,758.30	$5,274.92	$28,202.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,758.30 / $5,274.92 / $28,202.05	Facility		$4,758.30	$5,274.92	$28,202.05
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 $1,756.91 / $2,509.88 / $5,524.66	Professional		$1,756.91	$2,509.88	$5,524.66