Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.30 / $3,786.80 / $6,781.00	Facility		$1,761.30	$3,786.80	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,541.14 / $1,761.30 / $1,827.35	Professional		$1,541.14	$1,761.30	$1,827.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $12.34 / $35.97	Professional		$10.48	$12.34	$35.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,871.38 / $2,862.11 / $46,027.83	Facility		$1,871.38	$2,862.11	$46,027.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,301.39 / $4,813.37 / $60,919.19	Professional		$2,301.39	$4,813.37	$60,919.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.02 / $1,431.05 / $12,748.08	Facility		$1,084.02	$1,431.05	$12,748.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,529.63 / $2,529.63 / $3,162.03	Professional		$2,529.63	$2,529.63	$3,162.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,084.02 / $1,431.05 / $12,748.08	Facility		$1,084.02	$1,431.05	$12,748.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $924.68 / $1,320.97 / $2,884.12	Professional		$924.68	$1,320.97	$2,884.12