Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,660.64 / $3,570.38 / $6,393.46	Facility		$1,660.64	$3,570.38	$6,393.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.06 / $1,660.64 / $1,722.92	Professional		$1,453.06	$1,660.64	$1,722.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $12.34 / $34.53	Professional		$10.48	$12.34	$34.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,764.43 / $2,698.54 / $45,499.55	Facility		$1,764.43	$2,698.54	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,169.85 / $4,538.26 / $57,437.31	Professional		$2,169.85	$4,538.26	$57,437.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,349.27 / $12,019.57	Facility		$1,022.07	$1,349.27	$12,019.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,385.08 / $2,385.08 / $2,981.34	Professional		$2,385.08	$2,385.08	$2,981.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,349.27 / $12,019.57	Facility		$1,022.07	$1,349.27	$12,019.57
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 $871.84 / $1,245.48 / $2,719.30	Professional		$871.84	$1,245.48	$2,719.30