Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,900.00 / $6,006.00	Facility		$1,950.00	$3,900.00	$6,006.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,365.00 / $1,657.50	Professional		$1,326.00	$1,365.00	$1,657.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.82 / $1,790.10 / $3,208.08	Professional		$1,316.82	$1,790.10	$3,208.08
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 / $2,458.94 / $13,146.64	Facility		$2,218.13	$2,458.94	$13,146.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,218.13 / $2,458.94 / $13,146.64	Facility		$2,218.13	$2,458.94	$13,146.64
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $702.00 / $1,755.00	Facility		$702.00	$702.00	$1,755.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $2,575.37	Professional		$819.00	$1,170.00	$2,575.37